Mancuso, Marc Angelo

Mancuso, Marc Angelo is an individual health care provider with primary practice located at 700 E Morehead St Ste 300 , Charlotte NC 28202-2742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mancuso, Marc Angelo can be contacted via phone (704) 334-7800.

Contact Information

Primary practice address
700 E Morehead St Ste 300 Charlotte NC 28202-2742
Phone: (704) 334-7800
Fax: (704) 414-7512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 200700335 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12626 New Hampshire
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 227556 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29892 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200700335 North Carolina

Profile Details

NPI number 1063498418
LBN Legal business name Mancuso, Marc Angelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Dec 20th, 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 1063498418 NPPES
North Carolina MEDICAID 5906571
North Carolina MEDICAID N00337
North Carolina Other P00410888

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