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NPI Code Detail

MEDICARE: ANTHONY D CASSANO M.D.

MEDICARE: ANTHONY D CASSANO 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician35-086503OH
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician0101056468VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00479174OTHERVARAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1437159316
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY D CASSANO M.D.
Provider Business Mailing Address
First Line : PO BOX 91734
Second Line :
City : RICHMOND
State : VA
Zip : 23291-1734
Country : US
Telephone Number : 804-358-6100
Fax Number : 804-342-7619
Provider Business Practice Location Address
First Line : 1250 E MARSHALL ST
Second Line : SURGERY
City : RICHMOND
State : VA
Zip : 23298-5051
Country : US
Telephone Number : 804-828-4620
Fax Number : 804-827-0527
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 06/25/2008

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Directions to “ ANTHONY D CASSANO M.D.” Practice Location

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