Provider Demographics
NPI:1609158245
Name:CUVA, PAUL ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ANTHONY
Last Name:CUVA
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 1:79 HUDSON STREET
Mailing Address - Street 2:UNIT 202
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5646
Mailing Address - Country:US
Mailing Address - Phone:201-653-2225
Mailing Address - Fax:201-596-1633
Practice Address - Street 1:79 HUDSON STREET
Practice Address - Street 2:UNIT 202
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5646
Practice Address - Country:US
Practice Address - Phone:201-653-2225
Practice Address - Fax:201-596-1633
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00527100111N00000X
NYX009010-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor