Provider Demographics
NPI:1578085015
Name:MUSCIO, ANTHONY NICHOLAS (DPT)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:NICHOLAS
Last Name:MUSCIO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 HARKINS RD
Mailing Address - Street 2:
Mailing Address - City:MILLTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08850-1326
Mailing Address - Country:US
Mailing Address - Phone:732-570-1912
Mailing Address - Fax:
Practice Address - Street 1:18 CENTRE DR STE 101
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-1501
Practice Address - Country:US
Practice Address - Phone:609-655-4200
Practice Address - Fax:609-655-4201
Is Sole Proprietor?:No
Enumeration Date:2017-07-15
Last Update Date:2017-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01677100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist