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Individual

PAUL S MUSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
103 BOULDER POINT DRIVE, PLYMOUTH, NH 03264-3168
(603) 536-1284
(603) 536-3136
Mailing address
PO BOX 706, PLYMOUTH, NH 03264-0706
(314) 989-0300
(603) 238-2163

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17272
NH
207W00000X
Ophthalmology Physician
MD07090
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08-001055
UNITED HEALTHCARE
01
180005429
RAILROAD MEDICARE
01
202101
BLUECHIP
RI
01
2443-5
BLUE CROSS BLUE SHIELD
RI
05
9002443
RI
01
MD07090
RI MEDICAL LICENSE
RI
Enumeration date
01/02/2007
Last updated
03/07/2023
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