Provider Demographics
NPI:1154086957
Name:BUCCI, DANIELO (DC)
Entity Type:Individual
Prefix:
First Name:DANIELO
Middle Name:
Last Name:BUCCI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 HERNDON PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-5526
Mailing Address - Country:US
Mailing Address - Phone:703-904-9666
Mailing Address - Fax:
Practice Address - Street 1:950 HERNDON PKWY STE 130
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-5526
Practice Address - Country:US
Practice Address - Phone:703-904-9666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program