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Individual

DR. DOMENICK D. BUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
KNIGHTS & RED LION ROADS, ARIA HEALTH MEDICAL STAFF OFFICE, PHILADELPHIA, PA 19114
(215) 612-4213
(215) 612-4803
Mailing address
KNIGHTS & RED LION ROADS, MEDICAL STAFF OFFICE, PHILADELPHIA, PA 19114
(215) 612-4213
(215) 612-4803

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD040961L
PA

Other

Enumeration date
07/10/2009
Last updated
07/10/2009
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