Provider Demographics
NPI:1710919774
Name:MUSCALUS, JOHN E JR (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:MUSCALUS
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:655 HERSHEY RD
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-9243
Mailing Address - Country:US
Mailing Address - Phone:717-566-3796
Mailing Address - Fax:717-566-0576
Practice Address - Street 1:655 HERSHEY RD
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-9243
Practice Address - Country:US
Practice Address - Phone:717-566-3796
Practice Address - Fax:717-566-0576
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS 005054 L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1710919774OtherNPI
PA1710919774OtherNPI