Provider Demographics
NPI:1568577765
Name:MUSCARELLA, GIOVANNINA (DC)
Entity Type:Individual
Prefix:DR
First Name:GIOVANNINA
Middle Name:
Last Name:MUSCARELLA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 MORRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-7148
Mailing Address - Country:US
Mailing Address - Phone:732-255-8585
Mailing Address - Fax:732-255-8594
Practice Address - Street 1:2494 MOORE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8187
Practice Address - Country:US
Practice Address - Phone:732-255-8585
Practice Address - Fax:732-255-8594
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00558500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ308580OtherAMERIGROUP ID