Individual
ERIC CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 W TABOR RD, MOSS BUILDING, 3RD FLOOR, PHILADELPHIA, PA 19141-3019
(215) 456-3930
(215) 456-1432
Mailing address
1138 PINE ST, APT 303, PHILADELPHIA, PA 19107-6051
(440) 522-8358
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058952
PA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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