| Doctor Name: | MR. ROBERT A MUSTICH |
| NPI Number: | 1013015502 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | NJ2090 |
| Business Practice Address: | 1608 Route 88 Ste 201 Brick, NJ - 087243044 |
| Business Phone Number: | 7328405770 |
| Business Fax Number: | |
| Mailing Address: | 1608 Route 88 Ste 201, BRICK |
| State: | NJ |
| Postal Code: | 087243044 |
| Phone Number: | 7328405770 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | NJ2090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |