Individual
VINCENT J CARUSO
Active
Individual
VINCENT J CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18981
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016469380001
—
PA
05
—
0121953000
—
WV
05
—
2015394
—
OH
Enumeration date
03/01/2006
Last updated
04/02/2021
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