Mohammadu, Fawzu Fusaini
Mohammadu, Fawzu Fusaini is an individual health care provider with primary practice located at 520 Saybrook Rd Suite N100, Middletown CT 06457-4700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mohammadu, Fawzu Fusaini can be contacted via phone (860) 344-1801.Contact Information
Primary practice address
520 Saybrook Rd Suite N100
Middletown CT 06457-4700
Phone: (860) 344-1801
Fax: (860) 358-8657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 044876 | Connecticut |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 44876 | Connecticut |
Profile Details
| NPI number | 1235345430 |
|---|---|
| LBN Legal business name | Mohammadu, Fawzu Fusaini |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | May 1st, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235345430 | NPPES |
| Connecticut | MEDICAID | 008023102 | |
| Connecticut | MEDICAID | 004236346 |
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