Individual
JOSE' M CUSCO'
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 RUE DE SANTE, SUITE 308, LA PLACE, LA 70068-5424
(985) 652-3500
(985) 653-4215
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10898R
LA
207R00000X
Internal Medicine Physician
Primary
MD.10898R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01653233
—
MS
05
—
1998036
—
LA
Enumeration date
05/03/2006
Last updated
04/21/2015
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