Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | 016883E | PA |
Y | 207V00000X | Obstetrician & Gynecologist | 016883E | PA |
NPI | 1760422984 |
---|---|
Provider Name | Dr. Rocco A Fulciniti |
First Address | Pittsburgh, PA 15235-5300 |
Second Address | Mckeesport, PA 15131-2416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0678042 | (05) | PA |
528035 | BLUE CROSS/BLUE SHIELD (01) | PA |
B40068 | (02) |