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NPI Code Detail

MEDICARE: SALVATORE NUCCIO DC

MEDICARE:   SALVATORE  NUCCIO  DC
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
1111N00000XChiropractor0104001409VA

General Provider Information

NPI Number : 1518050475
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALVATORE NUCCIO DC
Provider Business Mailing Address
First Line : 5294 LYNGATE CT
Second Line :
City : BURKE
State : VA
Zip : 22015-1688
Country : US
Telephone Number : 703-425-0048
Fax Number :
Provider Business Practice Location Address
First Line : 5294 LYNGATE CT
Second Line :
City : BURKE
State : VA
Zip : 22015-1688
Country : US
Telephone Number : 703-425-0048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 11/11/2023

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Directions to “ SALVATORE NUCCIO DC” Practice Location

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