Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELO FUSARO
Active Sole ProprietorANGELO FUSARO is a Sports Medicine (PM&R) healthcare provider located in MYSTIC, Connecticut. NPI 1497573182 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · MYSTIC, CT
Registration Details
- NPI Number
- 1497573182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2024 (1.9087190042822 yrs)
- Last Updated
- Oct 1, 2024
- License
-
001036 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 CLARA DRMYSTIC, CT, 063551973Browse CT providers · Browse ZIP 06355
- Phone
- 8602450851
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.