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Contact Information

ANTHONY J CUSANO II, MD
140 GRANDVIEW AVENUE
SUITE L02
WATERBURY, CT06708
 Phone: 203-757-5798
 Fax: 203-757-5161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANTHONY J CUSANO II · (Male)

NPI Number 1205944089
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 09/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 030022
  • CT Medicaid 001300227
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
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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