Individual
DR. JAMES C CUSACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 7B, BOSTON, MA 02114
(617) 724-4043
(617) 724-3895
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
74063
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117781
—
MA
01
—
074063
TUFTS HEALTH PLAN
MA
01
—
J11385
BCBS MA
MA
Enumeration date
11/21/2005
Last updated
07/08/2007
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