Individual
JULIE ANN MUCCIARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, YAWKEY 9E, BOSTON, MA 02114-2621
(617) 643-2402
Mailing address
55 FRUIT ST, YAWKEY 9E, BOSTON, MA 02114-2621
(617) 643-2402
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA4038
MA
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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