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Individual
DR. MARIO MUTIC
Active
Individual
DR. MARIO MUTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
257090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934086
—
AL
01
—
257090
MEDICAL LICENSE
NY
01
—
51531097
BCBS PROVIDER
AL
01
—
DB8444
RAILROAD MEDICARE GRP
AL
01
—
P00312169
RAILROAD MEDICARE NUMBER
AL
Enumeration date
03/01/2006
Last updated
01/13/2011
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