Individual
ERIC I MUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
333 LINCOLN ST, SACO, ME 04072-3113
(207) 282-6330
(207) 283-3338
Mailing address
333 LINCOLN ST, SACO, ME 04072-3113
(207) 282-6330
(207) 283-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD1025
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038319
ANTHEM
ME
01
—
038319
ANTHEM
—
05
—
221470099
—
ME
01
—
2292732
AETNA
—
01
—
6793980001
MEDICARE PTAN
ME
01
—
6793980001
NCS DME
—
Enumeration date
03/15/2006
Last updated
04/12/2018
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