Individual
DR. PETER PAUL PERCUOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC., DACNB
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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