Cucchiara, Brett L

Cucchiara, Brett L is an individual health care provider with primary practice located at 3400 Civic Center Blvd 2Nd Floor, South Pavilion, Philadelphia PA 19104-5127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Cucchiara, Brett L can be contacted via phone (215) 662-3606.

Contact Information

Primary practice address
3400 Civic Center Blvd 2Nd Floor, South Pavilion Philadelphia PA 19104-5127
Phone: (215) 662-3606
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD066636L Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X MD066636L Pennsylvania

Profile Details

NPI number 1942241674
LBN Legal business name Cucchiara, Brett L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Mar 12th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942241674 NPPES
Pennsylvania MEDICAID 0018504950004

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