Provider Demographics
NPI:1043281520
Name:CARUNO, JOHN W (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:CARUNO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2461 NAZARETH RD
Mailing Address - Street 2:25TH STREET SHOPPING CENTER
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2743
Mailing Address - Country:US
Mailing Address - Phone:610-258-5300
Mailing Address - Fax:610-258-5138
Practice Address - Street 1:2461 NAZARETH RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2743
Practice Address - Country:US
Practice Address - Phone:610-268-5300
Practice Address - Fax:610-258-5138
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003460L207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0739317Medicaid
PA126763Medicare ID - Type Unspecified
PAC30975Medicare UPIN