Individual
DR. MARK A MUSCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-2300
(217) 876-6725
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-2300
(217) 876-6725
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33675225
IL
Other
Enumeration date
05/25/2006
Last updated
12/05/2007
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