Individual
DR. LOUIS A CUCCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1049 BROADWAY, WEST LONG BRANCH, NJ 07764-1334
(732) 571-1177
(732) 571-4958
Mailing address
1049 BROADWAY, WEST LONG BRANCH, NJ 07764-1334
(732) 571-1177
(732) 571-4958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00131000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041804
—
NJ
Enumeration date
10/23/2006
Last updated
10/01/2009
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