Individual
FEDELE ANTHONY MUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
STATION SQUARE 2, SUITE 111, PAOLI, PA 19301
(610) 644-1502
(610) 296-7915
Mailing address
STATION SQUARE 2, SUITE 111, PAOLI, PA 19301
(610) 644-1502
(610) 296-7915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 019136-L
PA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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