Provider Demographics
NPI:1093510323
Name:MUSIAL, JOHN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:MUSIAL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 MARLTON PIKE E STE 15
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2020
Mailing Address - Country:US
Mailing Address - Phone:856-229-7389
Mailing Address - Fax:
Practice Address - Street 1:1871 NJ-70 EAST
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2020
Practice Address - Country:US
Practice Address - Phone:856-229-7389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1614237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist