Individual provider · Type 1 NPI
John Richard Casuccio, MD
Pediatric Surgery Physician · Martinsburg, WV
NPI number
1477523967
Active
Practice location
2000 Foundation Way Ste 3650
Martinsburg, WV 25401-9197
Fax (304) 350-3404
Mailing address
2500 Foundation Way
Martinsburg, WV 25401-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | 0101042197 (VA) |
| Pediatric Surgery Physician Primary | 2086S0120X | 12657 (WV) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
3 other providers at this address
About NPI 1477523967
John Richard Casuccio, MD's National Provider Identifier is 1477523967, issued on Jan 25, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Martinsburg, WV. The record was last updated on Jan 8, 2015.