Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANGELO MANCUSO, DO
ActiveProcedural Dermatology · MADISON, AL
Registration Details
- NPI Number
- 1992777627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2006 (20.205260042075 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DO-196 (AL)
Practice Information
- Address
-
540 HUGHES RDMADISON, AL, 357588959Browse AL providers · Browse ZIP 35758
- Phone
- 2567729996
- Fax
- 2567720294
- Primary Specialty
-
Procedural Dermatology
207NS0135X
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.