Provider Demographics
NPI:1710304282
Name:CASCIOLA, ALAN THOMAS (DO)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:THOMAS
Last Name:CASCIOLA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:ALAN
Other - Middle Name:THOMAS
Other - Last Name:CASCIOLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:451 MURTHA DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-7010
Mailing Address - Country:US
Mailing Address - Phone:304-974-3007
Mailing Address - Fax:
Practice Address - Street 1:451 MURTHA DR
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-7010
Practice Address - Country:US
Practice Address - Phone:304-974-3007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-23
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS018832207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
14082164OtherCAQH