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Individual
DR. MARK T CUCUZZELLA
Active
Individual
DR. MARK T CUCUZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21899
WV
207Q00000X
Family Medicine Physician
Primary
MD29585
ME
207QB0002X
Obesity Medicine (Family Medicine) Physician
MD29585
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002333
—
WV
Enumeration date
04/01/2006
Last updated
02/03/2026
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