Individual
DENNIS WILLIAM CAKOUROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
716 PENLLYN PIKE, SPRING HOUSE, PA 19477
(215) 646-1725
Mailing address
PO BOX 161, SPRING HOUSE, PA 19477-0161
(215) 646-1725
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS003302L
PA
207Q00000X
Family Medicine Physician
Primary
OS003302L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000674787
—
PA
01
—
0006747870008
PROMISE
PA
01
—
0045119000
KEYSTONE
PA
01
—
052169
BS HIGHMARK
PA
01
—
60126A
KEYSTONE MERCY
PA
Enumeration date
04/27/2006
Last updated
11/01/2018
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