Individual
MARK MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 LIMESTONE RD STE 5, WILMINGTON, DE 19808-5553
(302) 995-1860
(302) 995-5421
Mailing address
2006 LIMESTONE RD, SUITE 5, WILMINGTON, DE 19808
(302) 897-8257
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C1-0005913
DE
Other
Enumeration date
01/03/2006
Last updated
03/17/2018
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