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Individual

ANTHONY PAUL CARUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
34612 6TH AVE S, SUITE 210, FEDERAL WAY, WA 98003-8723
(253) 927-1882
(253) 927-1439
Mailing address
34612 6TH AVE S, SUITE 110, FEDERAL WAY, WA 98003-8723
(253) 927-1882
(253) 927-1439

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00038407
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427128198
GROUP NPI
WA
05
7125081
WA
Enumeration date
06/24/2005
Last updated
11/28/2007
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