MEDICARE: ROCCO D. CASSONE MD PA

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	174400000X	Specialist		SC

Other Identifiers

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

General Provider Information

NPI Number	:	1639137920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCCO D. CASSONE MD PA

Provider Business Mailing Address
First Line	:	832 COOK RD
Second Line	:
City	:	ORANGEBURG
State	:	SC
Zip	:	29118
Country	:	US
Telephone Number	:	803-536-5511
Fax Number	:	803-536-0636

Provider Business Practice Location Address
First Line	:	1175 COOK RD
Second Line	:	SUITE 230
City	:	ORANGEBURG
State	:	SC
Zip	:	29118-8201
Country	:	US
Telephone Number	:	803-536-5511
Fax Number	:	803-536-0636

Authorized Official
Title or Position	:	MD
Name	:	DR. ROCCO D CASSONE
Credential	:	MD
Telephone Number	:	803-536-5511

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	12/18/2014

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