Individual
GARY PETER MUCCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PARKER AVE, CLIFTON, NJ 07011-1456
(973) 546-6844
(973) 546-7707
Mailing address
300 PARKER AVE, CLIFTON, NJ 07011-1456
(973) 546-6844
(973) 546-7707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MAO3527700
NJ
Other
Enumeration date
10/01/2006
Last updated
11/30/2011
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