Provider Demographics
NPI:1437429230
Name:MUSCALUS, ROBERT STEWART (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:STEWART
Last Name:MUSCALUS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1702
Mailing Address - Country:US
Mailing Address - Phone:717-302-3030
Mailing Address - Fax:717-302-4165
Practice Address - Street 1:1800 CENTER ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-1702
Practice Address - Country:US
Practice Address - Phone:717-302-3030
Practice Address - Fax:717-302-4165
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005368L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine