Jack Guccione, M.D., MPH

NPI 1174529010 · on the registry since 2005 · sole proprietor

Practice

Address: 2404 Newburg Rd
Fortuna, CA 95540
Phone: (707) 725-8770
Fax: (707) 725-8773
Organisation at this address: Jack L. Guccione
Fortuna Family Medicine Inc.
Heber House Inc. Dba Dermatology Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California