Individual
PAUL S MUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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