Provider Demographics
NPI:1508884255
Name:CUTTI, ERIC MOORE (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MOORE
Last Name:CUTTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1542 WHITE VIOLET WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2436
Mailing Address - Country:US
Mailing Address - Phone:717-887-6176
Mailing Address - Fax:303-492-8222
Practice Address - Street 1:1900 WARDENBURG DRIVE UCB 119
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80309-9346
Practice Address - Country:US
Practice Address - Phone:303-492-5101
Practice Address - Fax:303-492-8222
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068455L207Q00000X
NJMA66161207Q00000X
MDD0055025207Q00000X
CODR.0067206207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01070001OtherCAPITAL BLUE CROSS-WMG
PA1143637OtherAMERIHEALTH MERCY-WMG
PA100441OtherGEISINGER
PA30152920OtherAMERIHEALTH CARITAS PA
PA001746290Medicaid
PA024868OtherJOHNS HOPKINS
PA434744OtherHIGHMARK BLUE SHIELD
PA95963OtherUNISON-WMG
PAP002914OtherGATEWAY-WMG
PA269506OtherMAMSI-WMG
PA7298196OtherAETNA
MD758678OtherCAREFIRST MD BCBS
PA080140115Medicare PIN
PA100441OtherGEISINGER
PAP002914OtherGATEWAY-WMG