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Individual

DR. PAUL PATRICK MUCCINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
25 MONUMENT RD, SUITE 290, YORK, PA 17403-5073
(717) 812-4090
(717) 812-4092
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3051
(717) 851-1405
(717) 812-4092

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS014388
PA
207XX0801X
Orthopaedic Trauma Physician
OS014388
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037915800
MD
05
102158456
PA
01
1571748
GATEWAY-WMG
PA
01
20091810
AMERIHEALTH MERCY-WMG
PA
01
2053366
HIGHMARK BLUE SHIELD
PA
01
279555
UNISON-WMG
PA
05
3810012464
WV
01
956309
CAREFIRST MD BCBS-WMG
MD
Enumeration date
07/12/2007
Last updated
12/19/2016
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