Individual
DR. DAVID J CUCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 GARDENIA DRIVE, SUITE B, COVINGTON, LA 70433
(985) 871-5900
(985) 871-5911
Mailing address
80 GARDENIA DRIVE, SUITE B, COVINGTON, LA 70433
(985) 871-5900
(985) 871-5911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024908
LA
207R00000X
Internal Medicine Physician
MS19412
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
646000515E
BLUE CROSS OF MS
MS
Enumeration date
10/23/2006
Last updated
12/23/2009
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