IndividualActive
Angelo Fusaro
NPI 1497573182 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Mystic, CT
Provider details
- NPI number
- 1497573182
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001036 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
14 Clara Dr
Mystic, CT 06355-1973
Phone: (860) 245-0851
Approximate (ZIP-level) locationGet directions
Mailing address
213 High St
Westerly, RI 02891-1775
Registry dates
- Enumerated
- 2024-10-01
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.