Barry Justin Cusack in Boise - Geriatric Medicine
Barry Justin Cusack - NPI 1720187289
Barry Justin Cusack is a Geriatric Medicine in Boise, Idaho. Barry Justin Cusack practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Barry Justin Cusack is 1720187289. The last update date is 2007-07-08.
Barry Justin Cusack's current location address is 500 West Fort St, Boise, Idaho. You can contact this provider via phone number 2084221000 and fax number 2084221319. The mailing address for Barry Justin Cusack is 500 West Fort St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry Justin Cusack |
|---|---|
| Address | 500 West Fort St, Boise, Idaho |
| Phone Number | 2084221000 |
| Fax Number | 2084221319 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720187289 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 West Fort St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837024598 |
| Phone Number | 2084221000 |
| Fax Number | 2084221319 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | M5678 |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M5678 | ID | STATE MEDICAL LICENCE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Barry Justin Cusack by the Centers for Medicare & Medicaid Services?
The Barry Justin Cusack has been issued the NPI (National Provider Identifier) 1720187289 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Barry Justin Cusack is geographically located?
The Barry Justin Cusack is physically situated at the following location: 500 West Fort St, Boise, ID, 837024598.
What is Barry Justin Cusack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Barry Justin Cusack is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Rg0300X.
When did the Barry Justin Cusack receive its 1720187289?
The Barry Justin Cusack was issued its 1720187289 on 2006-09-21, which is the date when the organization was assigned this unique identifier.
When was the information regarding Barry Justin Cusack, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Barry Justin Cusack, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.