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Individual
DR. CHARLES JOSEPH MUSTO
Active
Individual
DR. CHARLES JOSEPH MUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS027522L
PA
207L00000X
Anesthesiology Physician
DP027522A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
727338
PA BLUE SHIELD
PA
01
—
808758
FIRST PRIORITY HEALTH BC
PA
Enumeration date
09/02/2006
Last updated
05/30/2023
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