Provider Demographics
NPI:1265431688
Name:MUSSO, GIUSEPPE (DC)
Entity type:Individual
Prefix:DR
First Name:GIUSEPPE
Middle Name:
Last Name:MUSSO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:MUSSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:520 RIDGEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3015
Mailing Address - Country:US
Mailing Address - Phone:973-428-1282
Mailing Address - Fax:973-428-8661
Practice Address - Street 1:520 RIDGEDALE AVE
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-3015
Practice Address - Country:US
Practice Address - Phone:973-428-1282
Practice Address - Fax:973-428-8661
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC002104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMU514308Medicare ID - Type Unspecified