Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jeffrey E. Puccio MD, PC

Organization Gastroenterology Physician · NPI 1619245461

Jeffrey E. Puccio MD, PC provides Gastroenterology Physician services 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 Not confirmed with CMS for 14 years — call before visiting
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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