Individual
DANIEL BUCCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
434 4TH ST, DUNELLEN, NJ 08812-1122
(908) 202-7099
Mailing address
400 E BROWN ST APT 624C, EAST STROUDSBURG, PA 18301-7812
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U2059409605
CIGNA HEALTH AND LIFE INSURANCE CO.
NJ
Enumeration date
02/28/2017
Last updated
02/28/2017
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