Individual
BRETT L CUCCHIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104-5127
(215) 662-3606
Mailing address
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104-5127
(215) 662-3606
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD066636L
PA
2084V0102X
Vascular Neurology Physician
Primary
MD066636L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018504950004
—
PA
Enumeration date
06/10/2006
Last updated
03/12/2024
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