| Organization Name: | MICHAEL J. CARUSO DO PC |
| NPI Number: | 1073646915 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J CARUSO (PRESIDENT) |
| Mailing Address: | 207 Stone Harbor Blvd Cape May Court House |
| State: | NJ US |
| Postal Code: | 082102137 |
| Phone Number: | 6094651616 |
| Fax Number: | 6094653213 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 31TD00181200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |