Individual
RICHARD A. PASCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4190 CITY AVE, SUITE 330, PHILADELPHIA, PA 19131-1626
(215) 871-6337
(215) 871-6347
Mailing address
4190 CITY AVE, SUITE 330, PHILADELPHIA, PA 19131-1626
(215) 871-6337
(215) 871-6347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS003520L
PA
207RR0500X
Rheumatology Physician
Primary
OS003520L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489264
—
PA
Enumeration date
08/10/2005
Last updated
11/24/2009
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