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Individual
DR. FREDERICK J MECCIA
Active
Individual
DR. FREDERICK J MECCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016004365
IL
213E00000X
Podiatrist
Primary
07000801
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227516
ANTHEM BCBS OF INDIANA
IN
01
—
0060001681
BCBS OF ILLINOIS
IL
05
—
200045360A
—
IN
Enumeration date
07/20/2005
Last updated
03/12/2024
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