| NPI | 1043358138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C. DICUCCIO Physician 724-282-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD034345L) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |