MEDICARE: DR. DAVID J CAUCCI 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
1	207X00000X	Orthopaedic Surgery Physician	MD065307L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710941489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J CAUCCI MD

Provider Business Mailing Address
First Line	:	3355 LAKE ARIEL HWY
Second Line	:
City	:	HONESDALE
State	:	PA
Zip	:	18431-1174
Country	:	US
Telephone Number	:	570-647-0001
Fax Number	:	570-647-0004

Provider Business Practice Location Address
First Line	:	3202 LAKE ARIEL HWY
Second Line	:
City	:	HONESDALE
State	:	PA
Zip	:	18431-7602
Country	:	US
Telephone Number	:	570-647-0001
Fax Number	:	570-647-0004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	06/16/2022

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