Individual
MR. GARY F CUCCIA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1221 LEE ST., CHARLOTTESVILLE, VA 22908-0001
(434) 982-0117
Mailing address
1180 CEDARBROOK CT, CHARLOTTESVILLE, VA 22901-9210
(434) 823-7718
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024127391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8938211
—
VA
Enumeration date
06/22/2005
Last updated
07/08/2007
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