| Doctor Name: | MRS. REGINA MARIE MUCCIO |
| NPI Number: | 1245356310 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 133157 |
| Business Practice Address: | 132 Central St Foxboro, MA - 020352433 |
| Business Phone Number: | 5085436306 |
| Business Fax Number: | 5085432976 |
| Mailing Address: | 11 Halloway Ln, NORTHBOROUGH |
| State: | MA |
| Postal Code: | 015322303 |
| Phone Number: | 5083937699 |
| Fax Number: | 5085432976 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 133157 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |