MEDICARE: CARLO JOHN CUTLER D.O.

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	207L00000X	Anesthesiology Physician	H0062337	MD
2	207L00000X	Anesthesiology Physician	OS020103	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00251804	OTHER	MD	RAILROAD MEDICARE

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720074230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLO JOHN CUTLER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1248
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21741-1248
Country	:	US
Telephone Number	:	800-938-2828
Fax Number	:	302-733-0854

Provider Business Practice Location Address
First Line	:	1701 INNOVATION DR
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17408-8815
Country	:	US
Telephone Number	:	800-436-4326
Fax Number	:

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	06/02/2020

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Directions to “ CARLO JOHN CUTLER D.O.” Practice Location

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