Cusumano, Joseph V
Cusumano, Joseph V is an individual health care provider with primary practice located at 3915 Watson Rd Ste. Ll2, Saint Louis MO 63109-1251. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Cusumano, Joseph V can be contacted via phone (314) 781-9711.Contact Information
Primary practice address
3915 Watson Rd Ste. Ll2
Saint Louis MO 63109-1251
Phone: (314) 781-9711
Fax: (314) 781-9768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | R9583 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R9583 | Missouri |
Profile Details
| NPI number | 1194733634 |
|---|---|
| LBN Legal business name | Cusumano, Joseph V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jun 25th, 2008 - about 17 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 | 1194733634 | NPPES |
| Missouri | MEDICAID | 201846201 |
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