# DR. ARTHUR W MRUCZEK SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124097878
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 120403 | NY | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 06/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00010122705 | UNIVERA | NY |
| 05 | — | 00466862 | — | NY |
| 01 | — | 060905000047 | FIDELIS | NY |
| 01 | — | 100689CR | PREFERRED CARE | NY |
| 01 | — | P017812763 | BLUE CHOICE | NY |
| 01 | — | P020120403 | BLUE CHOICE | NY |