Individual
JOSEPH A MUCCINI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 S WOODS MILL RD, 475 NORTH, CHESTERFIELD, MO 63017-3625
(314) 878-0600
(314) 878-0602
Mailing address
222 S WOODS MILL RD, 475 NORTH, CHESTERFIELD, MO 63017-3625
(314) 878-0600
(314) 878-0602
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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