Individual
RICHARD MIZUGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E, SUITE 3C, NEW YORK, NY 10003-3314
(212) 523-5898
Mailing address
PO BOX 95000-2442, PHILADELPHIA, PA 19195-2442
(212) 844-8800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
224462
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02317522
—
NY
Enumeration date
11/21/2005
Last updated
12/06/2012
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