Individual
THOMAS D CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1050 KEY PKWY, SUITE 103, FREDERICK, MD 21702-4053
(240) 629-3939
(240) 629-3932
Mailing address
PO BOX 2348, GERMANTOWN, MD 20875-2348
(240) 629-3982
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
DO23008
OR
208100000X
Physical Medicine & Rehabilitation Physician
TC018927
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
H0074948
MD
Other
Enumeration date
08/16/2006
Last updated
12/20/2012
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