Individual
DR. JOSEPH FRANK MUSSOLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1637 S BROAD ST, PHILADELPHIA, PA 19148-1003
(215) 465-7100
(215) 463-3550
Mailing address
1637 S BROAD ST, PHILADELPHIA, PA 19148-1003
(215) 465-7100
(215) 463-3550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA04943100
NJ
174400000X
Specialist
Primary
MD038372E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0409419000
AMERIHEALTH
NJ
01
—
55507
US HEALTHCARE
NJ
Enumeration date
09/27/2005
Last updated
02/06/2013
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