Dr JODI B CUSACK is a female medical professional, specializing in Physician Assistant. She graduated in 2011.
INTERNAL MEDICINE ASSOC INC
360 KINGSTOWN RD
SUITE 202 AND 204
NARRAGANSETT
RI
028823239
Tel: 4017891860
| Npi | 1306128251 |
| Pac Id | 0840451548 |
| Professional Enrollment Id | I20120405000171 |
| Last Name | CUSACK |
| First Name | JODI |
| Middle Name | B |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | INTERNAL MEDICINE ASSOC INC |
| Group Practice Pac Id | 9234029257 |
| Number Of Group Practice Members | 9 |
| Line 1 Street Address | 360 KINGSTOWN RD |
| Line 2 Street Address | SUITE 202 AND 204 |
| Marker Of Address Line 2 Suppression | |
| City | NARRAGANSETT |
| State | RI |
| Zip Code | 028823239 |
| Phone Number | 4017891860 |
| Hospital Affiliation Ccn 1 | 410008 |
| Hospital Affiliation Lbn 1 | SOUTH COUNTY HOSPITAL INC |
| Hospital Affiliation Ccn 2 | 410012 |
| Hospital Affiliation Lbn 2 | THE MIRIAM HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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