Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey E. Puccio MD, PC

Organization Gastroenterology Physician · NPI 1619245461

Jeffrey E. Puccio MD, PC is a Gastroenterology Physician in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2021 Monroe St Ste 101
Dearborn, MI 48124-2926
Phone: (313) 277-4177
Fax: (313) 277-4157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 4301052835 (MI)

Record details

NPI number1619245461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Puccio — President · (313) 277-4177
NPI enumeratedDecember 8, 2011
Last updated in NPPESDecember 8, 2011
Mailing address2021 Monroe St, Suite 101, Dearborn, MI 48124-2926

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