Individual
ERIC W. CUCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF MEDICINE, WORCESTER, MA 01655-0002
(508) 791-5512
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2341
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2341
LICENSE
MA
Enumeration date
06/13/2007
Last updated
11/05/2020
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