Organization
ERIC MUCA DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC I MUCA DPM (PHYSICIAN)
(207) 282-6330
Entity
Organization
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
POD 1025
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038319
ANTHEM
ME
05
—
221470099
—
ME
01
—
2292732
AETNA
—
Enumeration date
05/21/2013
Last updated
04/12/2018
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