Provider Demographics
NPI:1043605975
Name:MCCUSKER, MICHAEL GERARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GERARD
Last Name:MCCUSKER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 CAMPUS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6906
Mailing Address - Country:US
Mailing Address - Phone:540-662-1108
Mailing Address - Fax:540-450-2244
Practice Address - Street 1:400 CAMPUS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6906
Practice Address - Country:US
Practice Address - Phone:540-662-1108
Practice Address - Fax:540-667-3408
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2023-05-24
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Provider Licenses
StateLicense IDTaxonomies
VA0101271135207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology