Individual
CHARLES L PUCEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 CHERRINGTON PKWY STE 410, CORAOPOLIS, PA 15108-4749
(412) 262-1064
(412) 262-3904
Mailing address
500 CHERRINGTON PKWY STE 410, CORAOPOLIS, PA 15108-4749
(412) 262-1064
(412) 262-3904
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD0272SOE
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0863588
—
PA
Enumeration date
10/18/2005
Last updated
03/08/2017
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