Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN RICHARD CASUCCIO, M.D.
ActiveDR. JOHN RICHARD CASUCCIO, M.D. is a Pediatric Surgery healthcare provider located in MARTINSBURG, West Virginia. NPI 1477523967 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · MARTINSBURG, WV
Registration Details
- NPI Number
- 1477523967
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2006 (20.525112558036 yrs)
- Last Updated
- Jan 8, 2015
- Licenses
-
0101042197 (VA)12657 (WV)
Practice Information
- Address
-
2000 FOUNDATION WAY STE 3650MARTINSBURG, WV, 254019197Browse WV providers · Browse ZIP 25401
- Phone
- 3043503274
- Fax
- 3043503404
- Primary Specialty
-
Pediatric Surgery
2086S0120X
- Additional Specialty
- Pediatric Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.