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NPI Code Detail

MEDICARE: DR. CHARLES CUTTINO M.D.

MEDICARE: DR. CHARLES CUTTINO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician0101056648VA
2207P00000XEmergency Medicine PhysicianME71432FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831296615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES CUTTINO M.D.
Provider Business Mailing Address
First Line : 3800 OLD GUN RD W
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23113-2020
Country : US
Telephone Number : 804-314-3596
Fax Number :
Provider Business Practice Location Address
First Line : 1602 SKIPWITH RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-5298
Country : US
Telephone Number : 804-289-4600
Fax Number : 804-200-7069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 06/22/2023

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