Provider Demographics
NPI:1881675684
Name:MUSINGER, JULES (MD)
Entity Type:Individual
Prefix:MR
First Name:JULES
Middle Name:
Last Name:MUSINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ERIE CANAL DR
Mailing Address - Street 2:STE E
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4605
Mailing Address - Country:US
Mailing Address - Phone:585-225-5900
Mailing Address - Fax:585-225-6574
Practice Address - Street 1:121 ERIE CANAL DR
Practice Address - Street 2:STE E
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4605
Practice Address - Country:US
Practice Address - Phone:585-225-5900
Practice Address - Fax:585-225-6574
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086051207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00451969Medicaid
NYP102088OtherPREF CARE
NYB71751Medicare UPIN
NYRA0685Medicare ID - Type Unspecified