Individual
PHILIP A CUSUMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 SEA ISLAND PARKWAY, BEAUFORT, SC 29907
(843) 522-7240
(843) 522-7249
Mailing address
117 SEA ISLAND PARKWAY, BEAUFORT, SC 29907
(843) 522-7240
(843) 522-7249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34018
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0861456
—
OH
Enumeration date
07/07/2006
Last updated
05/28/2014
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