Individual
DR. PETER PAUL PERCUOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC., DACNB
Contact information
Practice address
17 MAIN ST, HUDSON, MA 01749-2108
(978) 568-8077
(978) 562-3349
Mailing address
17 MAIN ST, P.O. BOX 181, HUDSON, MA 01749-2108
(978) 568-8077
(978) 562-3349
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
001597
CT
111NN0400X
Neurology Chiropractor
Primary
1497
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y36030
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
02/12/2007
Last updated
04/04/2011
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