Mucciardi, Nick

Mucciardi, Nick is an individual health care provider with primary practice located at 1030 President Ave Suite 210, Fall River MA 02720-5923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mucciardi, Nick can be contacted via phone (508) 973-1780.

Contact Information

Primary practice address
1030 President Ave Suite 210 Fall River MA 02720-5923
Phone: (508) 973-1780
Fax: (508) 973-0359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD06886 Rhode Island
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 44581 Massachusetts

Profile Details

NPI number 1073670303
LBN Legal business name Mucciardi, Nick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Apr 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073670303 NPPES
Rhode Island MEDICAID NM04777
Rhode Island MEDICAID 110064580A

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