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Individual

DR. JOSEPH L MUSCARELLA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
180 PARK CLUB LN, SUITE 200, WILLIAMSVILLE, NY 14221-5263
(716) 634-7350
(716) 634-7656
Mailing address
180 PARK CLUB LN, SUITE 200, WILLIAMSVILLE, NY 14221-5263
(716) 634-7350
(716) 634-7656

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
155405
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01166178
NY
Enumeration date
05/15/2006
Last updated
04/07/2010
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