Doctor Name: | DR. ROBERT A MUSSON |
NPI Number: | 1669471462 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD048666L |
Business Practice Address: | 3618 W Market St Suite 102 Fairlawn, OH - 443332425 |
Business Phone Number: | 3306682744 |
Business Fax Number: | 3306682934 |
Mailing Address: | 397 Churchill Hubbard Rd, YOUNGSTOWN |
State: | OH |
Postal Code: | 445051375 |
Phone Number: | 3307596750 |
Fax Number: | 3307596750 |
NPI Enumeration Date: | 07/14/2005 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD048666L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |