Individual
DONATO ROCCO CARUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 EISENHOWER BLVD, STE I, JOHNSTOWN, PA 15904-3347
(814) 535-7661
(814) 535-8315
Mailing address
110 MARILYN WAY, JOHNSTOWN, PA 15904-3253
(814) 242-9500
(814) 535-8315
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD036849E
PA
332H00000X
Eyewear Supplier
MD036849E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1059209
—
PA
Enumeration date
04/08/2006
Last updated
10/29/2020
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