Individual
DR. JOSEPH V CUSUMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3915 WATSON RD, STE. LL2, SAINT LOUIS, MO 63109-1251
(314) 781-9711
(314) 781-9768
Mailing address
750 S HANLEY RD, APT. 52, SAINT LOUIS, MO 63105-2670
(314) 781-9711
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
R9583
MO
2085R0202X
Diagnostic Radiology Physician
Primary
R9583
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201846201
—
MO
Enumeration date
08/03/2006
Last updated
06/25/2008
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