MR. Michael J Mucciolo
NPI #1306135926 in Old Forge, Pennsylvania
Provider Information
- NPI Number
- 1306135926
- Entity Type
- Individual
- Name
- MR. Michael J Mucciolo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Apr 5, 2011
- Last Updated
- Apr 5, 2011
Practice Location
- Address
- 191 S KEYSER AVE
- City
- Old Forge
- State
- Pennsylvania
- ZIP Code
- 18518-1148
- Phone
- (570) 457-4069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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