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Contact Information

ROBERT A MUSTILLO, MD
221 CHESTNUT ST
NEWARK, NJ07105-1558
 Phone: 973-878-3990
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Independent Medical Examiner

202C00000X
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for ROBERT A MUSTILLO · (Male)

NPI Number 1649470295
Status Active
Credentials MD
Entity Individual
Enumeration date 07/23/2007
Last updated 05/21/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA053782
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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