Individual
DR. BRIAN EDWARD PUCEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 CHERRINGTON PKWY, SUITE 410, CORAOPOLIS, PA 15108-4744
(412) 262-1064
(412) 262-3904
Mailing address
500 CHERRINGTON PKWY, SUITE 410, CORAOPOLIS, PA 15108-4744
(412) 262-1064
(412) 262-3904
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD445813
PA
207ND0101X
MOHS-Micrographic Surgery Physician
MD445813
PA
Other
Enumeration date
07/08/2008
Last updated
08/20/2014
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