Individual
CARRIE ANN R CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
219 N BROAD ST, 4TH FLOOR, PHILADELPHIA, PA 19107-1519
(215) 762-5550
(215) 762-5570
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MA07815500
NJ
207N00000X
Dermatology Physician
Primary
MD422137
PA
207ND0900X
Dermatopathology Physician
25MA07815500
NJ
207ND0900X
Dermatopathology Physician
MD422137
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001967148
—
PA
Enumeration date
05/01/2006
Last updated
08/31/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us