Individual
CHARLES JOSEPH CUCCHIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4228 HOUMA BLVD, STE 200, METAIRIE, LA 70006
(504) 454-7878
(504) 883-3775
Mailing address
4228 HOUMA BLVD, STE 200, METAIRIE, LA 70006-3000
(504) 454-7878
(504) 883-3775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD010401
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103217
—
LA
Enumeration date
05/18/2006
Last updated
03/09/2017
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