Individual
RICARDO A MUJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1132 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-3878
(413) 592-1980
(413) 439-0096
Mailing address
10 KNOX CIR, WESTFIELD, MA 01085-4586
(413) 262-6920
(413) 568-2897
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
216641
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090091
—
MA
01
—
470859
TUFTS
MA
01
—
J28302
BLUE CROSS BLUE SHIELD
MA
01
—
P00175721
RAIL ROAD MEDICARE
MA
Enumeration date
08/04/2006
Last updated
10/31/2008
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