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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARRIE ANN R CUSACK, M.D.

Active

CARRIE ANN R CUSACK, M.D. is a Dermatology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1649238775 is currently active in the NPPES registry. Verify at CMS.

Dermatology · PHILADELPHIA, PA

Registration Details

NPI Number
1649238775
Provider Type
Individual
Gender
Female
NPI Issued
May 1, 2006 (20.303647521926 yrs)
Last Updated
Aug 31, 2016
Licenses
MD422137 (PA)
MD422137 (PA)
25MA07815500 (NJ)
25MA07815500 (NJ)

Practice Information

Address
219 N BROAD ST
4TH FLOOR
PHILADELPHIA, PA, 191071519
Browse PA providers · Browse ZIP 19107
Phone
2157625550
Fax
2157625570
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatopathology
Additional Specialty
Dermatology
Additional Specialty
Dermatopathology

Other Dermatology Providers in PHILADELPHIA, PA

Name Credential NPI
SCOTT M. PANZER M.D. 1922002369
DR. ALEXANDER EVAN EHRLICH M.D. 1215932876
MAGDALENE Y HO MD 1760489710
PAUL R GROSS MD 1558360560
DR. HOWARD MICHAEL GOLDMAN D.O. 1699764175
DR. LAWRENCE CHARLES PARISH MD 1548259815
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.