Individual
DANIEL J MUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 MYRTLE ST STE L90, ERIE, PA 16502-4607
(814) 452-7575
(814) 452-7574
Mailing address
2315 MYRTLE ST STE L90, ERIE, PA 16502-4607
(814) 452-7575
(814) 452-7574
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD037094E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001243827
—
PA
01
—
10932893
CAQH
—
Enumeration date
01/06/2006
Last updated
10/05/2020
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