| Paul P Cusano Md Pa | |
|
925 Clifton Ave Suite 103 Clifton NJ 07013-2724 | |
| (973) 471-5256 | |
| (973) 471-5157 |
| Full Name | Paul P Cusano Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 925 Clifton Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Paul P Cusano (OWNER) |
| Authorized Official Contact | 9734715256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul P Cusano Md Pa 925 Clifton Ave Suite 103 Clifton NJ 07013-2724 Ph: (973) 471-5256 | Paul P Cusano Md Pa 925 Clifton Ave Suite 103 Clifton NJ 07013-2724 Ph: (973) 471-5256 |
| NPI Number | 1972871366 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Medicare PECOS PAC ID | 7810155264 |
|---|---|
| Medicare Enrollment ID | O20120215000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972871366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA02763800 (New Jersey) | Primary |
| Provider Name | Paul P Cusano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710924048 PECOS PAC ID: 4981685062 Enrollment ID: I20040525001393 |
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