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NPI Code Detail

MEDICARE: MICHAEL P CUDA MD

MEDICARE: MICHAEL P CUDA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician182045NY

General Provider Information

NPI Number : 1659368959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL P CUDA MD
Provider Business Mailing Address
First Line : PO BOX 2005
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-4505
Country : US
Telephone Number : 315-449-0513
Fax Number : 315-445-2936
Provider Business Practice Location Address
First Line : 1676 SUNSET AVE
Second Line :
City : UTICA
State : NY
Zip : 13502-5416
Country : US
Telephone Number : 315-724-3456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2005
Last Update Date : 01/19/2012

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Directions to “ MICHAEL P CUDA MD” Practice Location

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