Provider Demographics
NPI:1740552819
Name:JOSEPH MUSCATIELLO DMD, LLC
Entity type:Organization
Organization Name:JOSEPH MUSCATIELLO DMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:MUSCATIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-722-0880
Mailing Address - Street 1:962 ROUTE 202 S
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3732
Mailing Address - Country:US
Mailing Address - Phone:908-722-0880
Mailing Address - Fax:908-722-7927
Practice Address - Street 1:962 ROUTE 202 S
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3732
Practice Address - Country:US
Practice Address - Phone:908-722-0880
Practice Address - Fax:908-722-7927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024016001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty