MEDICARE: MR. PAUL D. CARUSO NBC-HIS, BS.

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
1	237700000X	Hearing Instrument Specialist	F03126	PA

General Provider Information

NPI Number	:	1114475431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL D. CARUSO NBC-HIS, BS.

Provider Business Mailing Address
First Line	:	315 BERKLEY MANOR DR
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-8103
Country	:	US
Telephone Number	:	724-513-5453
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 VILLAGE CENTER DR
Second Line	:
City	:	TARENTUM
State	:	PA
Zip	:	15084-3844
Country	:	US
Telephone Number	:	724-715-1430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2016
Last Update Date	:	09/15/2016

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