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Individual
ALAN PETER MUTO
Active
Individual
ALAN PETER MUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005099L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00149306
—
PA
01
—
07118
BS
PA
01
—
0818989
KEYSTONE CENTRAL
PA
01
—
1000227
AMERI HEALTH MERCY
PA
Enumeration date
03/01/2006
Last updated
12/06/2013
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