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NPI Code Detail

MEDICARE: MR. JOSEPH ALEXANDER CARUSO CADC

MEDICARE: MR. JOSEPH ALEXANDER CARUSO CADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor22366CT

General Provider Information

NPI Number : 1962563999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH ALEXANDER CARUSO CADC
Provider Business Mailing Address
First Line : 38 OLD RIDGEBURY RD
Second Line :
City : DANBURY
State : CT
Zip : 06810-5128
Country : US
Telephone Number : 203-792-4515
Fax Number : 203-748-2632
Provider Business Practice Location Address
First Line : 38 OLD RIDGEBURY RD
Second Line :
City : DANBURY
State : CT
Zip : 06810-5128
Country : US
Telephone Number : 203-792-4515
Fax Number : 203-748-2632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 07/08/2007

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