Individual
MICHAEL MUTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1438 LIBERTY RD, SYKESVILLE, MD 21784-6493
(410) 781-4720
Mailing address
1438 LIBERTY RD, SYKESVILLE, MD 21784-6493
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22479
MD
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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