Individual
JOSEPH A MUCCINI JR.
Active
Individual
JOSEPH A MUCCINI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
111874
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000660531
ANTHEM
MO
01
—
1182892
FIRST HEALTH
MO
01
—
382640
HEALTHLINK
MO
01
—
5672603
AETNA
MO
01
—
64524
GROUP HEALTH PLAN
MO
01
—
8623544001
CIGNA
MO
01
—
P00849497
MEDICARE RR
MO
01
—
STL0308700
UNITED HEALTH CARE
MO
Enumeration date
09/30/2005
Last updated
02/21/2011
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