| Doctor Name: | V JOSEPH CIURCA |
| NPI Number: | 1003989773 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CAC |
| License Number: | ACO783 |
| Business Practice Address: | 11827 Ocean Gtwy Wacs Center Ocean City, MD - 218429529 |
| Business Phone Number: | 4102130202 |
| Business Fax Number: | 4102131408 |
| Mailing Address: | 57 Pinehurst Rd, BERLIN |
| State: | MD |
| Postal Code: | 218111619 |
| Phone Number: | 4102083652 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ACO783 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |