Hanjan-Fusco, Kawal

Hanjan-Fusco, Kawal is an individual health care provider with primary practice located at 110 Dunham Pl Hartford Hospital Emergency Room, Southington CT 06489-1201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hanjan-Fusco, Kawal can be contacted via phone (860) 670-3546.

Contact Information

Primary practice address
110 Dunham Pl Hartford Hospital Emergency Room Southington CT 06489-1201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002663 Connecticut

Profile Details

NPI number 1770868408
LBN Legal business name Hanjan-Fusco, Kawal
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2011
Last updated Apr 3rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770868408 NPPES
Connecticut MEDICAID 003026630

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