Individual
DR. JOHN R CARUSO
Active
Individual
DR. JOHN R CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
18854
WV
207T00000X
Neurological Surgery Physician
Primary
D0051043
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138304300
—
MD
01
—
140005740
RR MEDICARE
—
01
—
145619
PA BLUE SHIELD PA LOC
PA
01
—
400443
PA BLUE SHIELD MD LOC
PA
01
—
68556206
MD BLUE SHIELD TRADITIONA
MD
01
—
W2660001
MD BLUE SHIELD REGIONAL
MD
Enumeration date
07/20/2006
Last updated
06/29/2017
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