Individual
WILLIAM A DICUCCIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 E JEFFERSON ST, BUTLER, PA 16001-4780
(724) 282-1530
(724) 282-0902
Mailing address
480 E JEFFERSON ST, BUTLER, PA 16001-4780
(724) 282-1530
(724) 282-0902
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD035862L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006778130003
—
PA
Enumeration date
11/04/2005
Last updated
07/08/2007
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