Individual
ALBERTO MARIO PASCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3409 TUSCANY DR, PHILADELPHIA, PA 19145-5729
(215) 876-5343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00551000
NJ
363A00000X
Physician Assistant
Primary
MA061195
PA
Other
Enumeration date
10/11/2019
Last updated
03/31/2025
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