Provider Demographics
NPI:1487944914
Name:CARUSO, WILLIAM ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:CARUSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WINTHROP AVE
Mailing Address - Street 2:PO 1153
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-5207
Mailing Address - Country:US
Mailing Address - Phone:781-361-0926
Mailing Address - Fax:
Practice Address - Street 1:8 WINTHROP AVE
Practice Address - Street 2:PO 1153
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-5207
Practice Address - Country:US
Practice Address - Phone:781-361-0926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA44871207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine