Provider Demographics
NPI:1467432377
Name:CUCCIA, JOSEPH R (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:R
Last Name:CUCCIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1100 S JACKSON HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660-5769
Mailing Address - Country:US
Mailing Address - Phone:256-381-5955
Mailing Address - Fax:256-381-5957
Practice Address - Street 1:1100 S JACKSON HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-5769
Practice Address - Country:US
Practice Address - Phone:256-381-5955
Practice Address - Fax:256-381-5957
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALMD282062084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA10045927OtherAMERIGROUP
AL051542344OtherBLUE CROSS
GA0500335OtherUNITED HEALTHCARE
GA2369497OtherCIGNA
GA341057OtherWELLCARE
GAA32291Medicare UPIN
AL051542344OtherBLUE CROSS