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Dr. Richard Cuckovich, D.O.

Family Medicine in Warren, OH. Individual provider (NPI-1).

NPI number1700203262
StatusActive
Last updated in NPPESNov 30, 2023

Details

NPI
1700203262
Entity type
Individual (NPI-1)
Name
Dr. Richard Cuckovich
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 23, 2014
Certification date
Nov 30, 2023
Last updated
Nov 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine34.012309OHYes

Practice location

1932 Niles Cortland Rd Ne
Warren, OH 44484-1055

Phone 330-856-7702 · Fax 330-856-1096

Mailing address

1932 Niles Cortland Rd Ne
Warren, OH 44484-1055

Phone 330-856-7702 · Fax 330-856-1096

Other practice locations

1932 Niles Cortland Rd Ne
Warren, OH 44484-1055

Phone 330-856-7702 · Fax 330-306-6942

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