Provider Demographics
NPI:1851405104
Name:DIFUCCIA, DAVID C (BS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:C
Last Name:DIFUCCIA
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 PAINTER AVE
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-2439
Mailing Address - Country:US
Mailing Address - Phone:724-224-6878
Mailing Address - Fax:
Practice Address - Street 1:VAMC PGH
Practice Address - Street 2:UNIVERSITY DR. 'C'
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-688-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist