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Individual
ERIC I MUCA
Active
Individual
ERIC I MUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD1025
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038319
ANTHEM
ME
05
—
221470099
—
ME
01
—
2292732
AETNA
—
01
—
6793980001
MEDICARE PTAN
ME
01
—
6793980001
NCS DME
—
Enumeration date
03/15/2006
Last updated
04/12/2018
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