Mario Mutic MD

NPI 1083681993 - Internal Medicine - 207R00000X

NPI Details
NPI 1083681993
Gender Male
Enumeration Date 03/01/2006
Last Updated 01/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
170 MAPLE AVE
SUITE G1
WHITE PLAINS NY, 10601-4710, US
Phone (914) 683-0443
Fax (914) 683-8620
Business Location
PO BOX 1722
WHITE PLAINS NY, 10602-1722, US
Phone (914) 683-0443
Fax (914) 683-8620
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 257090
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According to our database, Dr. Mario Mutic MD NPI is 1083681993, taxonomy code is 207R00000X and license number is 257090, license state is located at New York. Mario Mutic MD physically located at 170 Maple Ave, White Plains NY, 10601-4710. NPI Number Mario Mutic MD has the Individual type.

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1083681993 NPI number is provided on an as is basis without warranty of any kind. 1083681993 is maintained by the National Plan & Provider Enumeration System. The contents of Mario Mutic MD are for informational purposes only.