MEDICARE: JOHN F MUELLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	44629	MA

General Provider Information

NPI Number	:	1639118854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN F MUELLER MD

Provider Business Mailing Address
First Line	:	69 SNIPATUIT RD
Second Line	:
City	:	ROCHESTER
State	:	MA
Zip	:	02770-1504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	69 SNIPATUIT RD
Second Line	:
City	:	ROCHESTER
State	:	MA
Zip	:	02770-1504
Country	:	US
Telephone Number	:	508-763-3100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/17/2007

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