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Individual

ANDREJ MUCIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20 DANEILS ST, MALDEN, MA 02148
(617) 605-2864
Mailing address
20 DANIELS ST APT 218, MALDEN, MA 02148-4215
(617) 605-2864

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2281878
MA

Other

Enumeration date
12/29/2016
Last updated
12/29/2016
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