Individual
DR. NICK MUCCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 PRESIDENT AVE, SUITE 210, FALL RIVER, MA 02720-5923
(508) 973-1780
(508) 973-0359
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
44581
MA
207RP1001X
Pulmonary Disease Physician
MD06886
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110064580A
—
MA
05
—
NM04777
—
RI
Enumeration date
01/03/2007
Last updated
01/22/2025
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