Individual
JOSEPH FRANCIS MUSSOLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 W RIDGE ST, LANSFORD, PA 18232-1310
(570) 645-3133
Mailing address
134 W RIDGE ST, LANSFORD, PA 18232-1310
(570) 645-3133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005238L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017900740001
—
PA
Enumeration date
07/11/2006
Last updated
07/08/2007
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