Samuel J Mucci M.d.p.c.

NPI #1629240965 in Beverly Hills, Michigan

Provider Information

NPI Number: 1629240965
Entity Type: Organization
Organization Name: Samuel J Mucci M.d.p.c.
Primary Specialty: Specialist
Enumeration Date: Mar 27, 2008
Last Updated: Nov 6, 2014

Practice Location

Address: 15590 W 13 MILE RD
Address 2: SUITE A
City: Beverly Hills
State: Michigan
ZIP Code: 48025-5642
Phone: (248) 283-1115

Authorized Official

Name: MRS. MICHELE A BARC
Title: MEDICAL BILLER
Phone: (248) 283-1115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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