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Contact Information

EVELYN J CUSACK, MD
29 HOSPITAL PLAZA
SUITE 502
STAMFORD, CT06902-3602
 Phone: 203-348-7410
 Fax: 203-961-8488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EVELYN J CUSACK · (Female)

NPI Number 1700874435
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2005
Last updated 12/30/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 41998
Hospital affiliation(s)
  • STAMFORD HOSPITAL - (Acute Care)
    30 SHELBURNE ROAD
    STAMFORD, CT 06904
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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