Provider Demographics
NPI:1811987449
Name:CUSCELA, DANIEL O (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:O
Last Name:CUSCELA
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-808-7075
Mailing Address - Fax:570-808-6174
Practice Address - Street 1:1000 E MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18711-0027
Practice Address - Country:US
Practice Address - Phone:570-808-7075
Practice Address - Fax:570-808-6174
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABC26677632085R0001X
PAOS0119782085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10109-394-7-0001Medicaid
PA1010939470Medicaid
FL10109-394-7-0001Medicaid
PAF83280Medicare UPIN