Caruso, David M

Caruso, David M is an individual health care provider with primary practice located at 761 Johnsonburg Road Suite 240, St Marys PA 15857-1349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Caruso, David M can be contacted via phone (814) 834-6565.

Contact Information

Primary practice address
761 Johnsonburg Road Suite 240 St Marys PA 15857-1349
Phone: (814) 834-6565
Fax: (814) 834-7424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD022209E Pennsylvania

Profile Details

NPI number 1427052117
LBN Legal business name Caruso, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 22nd, 2015 - 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 1427052117 NPPES
Pennsylvania MEDICAID 8085210001

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