Individual
DR. MATTHEW W. CUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101236288
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740257831
—
VA
05
—
7100066160
—
KY
01
—
P00670127
RR MEDICARE
—
Enumeration date
03/07/2006
Last updated
07/21/2025
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