Matthew Mussallem is a Orthopedic in Madison, Wisconsin. Matthew Mussallem practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Matthew Mussallem is 1558420703. The last update date is 2023-01-25.
Matthew Mussallem's current location address is 202 S Park St, Madison, Wisconsin. You can contact this provider via phone number 6084178025. The mailing address for Matthew Mussallem is 202 S Park St, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Mussallem |
|---|---|
| Address | 202 S Park St, Madison, Wisconsin |
| Phone Number | 6084178025 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1558420703 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2023-01-25 |
Provider Mailing Address Detail
| Address | 202 S Park St |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537151507 |
| Phone Number | 6084178025 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 10703-024 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36119500 | WI | -- | |
| 877039 | WI | ATHLETIC TRAINING LICENSE |
Post Comment/ Review Below
What is the Matthew Mussallem's 1558420703?
The Matthew Mussallem's NPI (National Provider Identifier) Number is 1558420703. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Matthew Mussallem is physically located?
The Matthew Mussallem is physically situated at the following address: 202 S Park St, Madison, WI, 537151507.
What is Matthew Mussallem's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matthew Mussallem's specialized field of practice is Orthopedic, and the corresponding taxonomy code that categorizes this area of specialization is 2251X0800X.
On what date did Matthew Mussallem receive its 1558420703 assignment from the Centers for Medicare & Medicaid Services?
The Matthew Mussallem was assigned its 1558420703 on 2006-12-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Matthew Mussallem's details last updated?
The information pertaining to the Matthew Mussallem, including its address, specialty, and other details, was most recently updated on 2023-01-25.