Individual provider · Type 1 NPI

Marc Angelo Mancuso, MD

Diagnostic Radiology Physician · Charlotte, NC

NPI number 1063498418 Active

Practice location

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Fax (704) 414-7512

Other practice locations

  • 1701 East Blvd, Charlotte, NC 28203-5823 · (704) 334-7800

Specialties and licenses

TaxonomyCodeLicense
Pediatric Radiology Physician 2085P0229X200700335 (NC)
Diagnostic Radiology Physician 2085R0202X12626 (NH)
Diagnostic Radiology Physician 2085R0202X227556 (MA)
Diagnostic Radiology Physician 2085R0202X29892 (SC)
Diagnostic Radiology Physician Primary 2085R0202X200700335 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1063498418

Marc Angelo Mancuso, MD's National Provider Identifier is 1063498418, issued on Dec 19, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charlotte, NC. The record was last updated on Dec 20, 2017.