Individual
DR. MARY ELLEN CUCCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
7171 CHURCHLAND STREET, EAST LIBERTY FAMILY HEALTH CARE CENTER, PITTSBURGH, PA 15206
(412) 361-8284
(412) 361-8268
Mailing address
7171 CHURCHLAND STREET, EAST LIBERTY FAMILY HEALTH CENTER, PITTSBURGH, PA 15206
(412) 361-8284
(412) 361-8268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-029763-L
PA
Other
Enumeration date
11/02/2005
Last updated
12/16/2014
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