Individual
BRIAN F. MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6000
Mailing address
434 ELLIOT RD, JEFFERSON HILLS, PA 15025-3016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1948
WV
363A00000X
Physician Assistant
MA052513
PA
Other
Enumeration date
09/27/2006
Last updated
09/20/2024
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