Individual
TOMISLAV KUCUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
60 GLENMAURA NATIONAL BOULEVARD, MOOSIC, PA 18507
(570) 808-7300
Mailing address
19 WOODCREST AVE, MOUNTAIN TOP, PA 18707-1129
(570) 239-4526
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP026711
PA
Other
Enumeration date
06/14/2023
Last updated
06/27/2023
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