Individual
MR. MICHAEL E CUCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
641 CLARK AVE, BRISTOL, CT 06010-4068
(860) 582-6603
(860) 585-9245
Mailing address
641 CLARK AVE, BRISTOL, CT 06010-4068
(860) 582-6603
(860) 585-9245
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
032941
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010032941CT01
ANTHEM BC BS
CT
01
—
750048
CONNECTICARE
CT
01
—
HAS706
OXFORD
—
01
—
ORO2017
HEALTHNET
—
Enumeration date
12/08/2005
Last updated
07/06/2021
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