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Individual
WAYNE MUCCI
Active
Individual
WAYNE MUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MB05189600
NJ
207Q00000X
Family Medicine Physician
Primary
OS5584
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0519349000
AMERIHEALTH #
NJ
01
—
223762143
TAX IDENTIFICATION #
NJ
01
—
2692811
AETNA HMO #
NJ
01
—
2K1863
HEALTHNET #
NJ
01
—
4383941
AETNA PPO #
NJ
05
—
5009201
—
NJ
01
—
GLS035
OXFORD #
NJ
Enumeration date
07/21/2005
Last updated
02/18/2017
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