| Doctor Name: | DAVID MARTIN MUSSELMAN |
| NPI Number: | 1205087434 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA07149400 |
| Business Practice Address: | 340 Kingsland St Nutley, NJ - 071101150 |
| Business Phone Number: | 9732353163 |
| Business Fax Number: | |
| Mailing Address: | 75 Summit Dr, BASKING RIDGE |
| State: | NJ |
| Postal Code: | 079201960 |
| Phone Number: | 9085420260 |
| Fax Number: | 9086475690 |
| NPI Enumeration Date: | 10/07/2008 |
| NPI Last Update Date: | 10/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA07149400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |