Individual
EDWARD A PUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
61 N MAPLE AVE, SUITE 205, RIDGEWOOD, NJ 07450-3255
(201) 447-2808
(201) 447-2809
Mailing address
61 N MAPLE AVE, SUITE 205, RIDGEWOOD, NJ 07450-3255
(201) 447-2808
(201) 447-2809
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
231342
NY
Other
Enumeration date
07/19/2005
Last updated
11/03/2009
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