Dr. John Richard Casuccio, M.D.
Surgery, Pediatric Surgery in Martinsburg, WV. Individual provider (NPI-1).
NPI number1477523967
StatusActive
Last updated in NPPESJan 8, 2015
Details
- NPI
- 1477523967
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Richard Casuccio
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2006
- Last updated
- Jan 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | 12657 | WV | Yes |
| 208200000X | Plastic Surgery | 0101042197 | VA |
Practice location
2000 Foundation Way Ste 3650Martinsburg, WV 25401-9197
Phone 304-350-3274 · Fax 304-350-3404
Mailing address
2500 Foundation WayMartinsburg, WV 25401-9000
Phone 304-264-9202 · Fax 304-264-9042
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