Casuccio, John Richard

Casuccio, John Richard is an individual health care provider with primary practice located at 2000 Foundation Way Ste 3650 , Martinsburg WV 25401-9197. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Casuccio, John Richard can be contacted via phone (304) 350-3274.

Contact Information

Primary practice address
2000 Foundation Way Ste 3650 Martinsburg WV 25401-9197
Phone: (304) 350-3274
Fax: (304) 350-3404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0101042197 Virginia
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 12657 West Virginia

Profile Details

NPI number 1477523967
LBN Legal business name Casuccio, John Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 8th, 2015 - about 11 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 1477523967 NPPES
West Virginia MEDICAID 3810011293

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