Provider Demographics
NPI:1538199492
Name:MUSCARA, WILLIAM EDWARD (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:MUSCARA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1559
Mailing Address - Country:US
Mailing Address - Phone:610-834-8724
Mailing Address - Fax:610-834-8723
Practice Address - Street 1:921 FAYETTE ST
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1559
Practice Address - Country:US
Practice Address - Phone:610-834-8724
Practice Address - Fax:610-834-8723
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003157L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAWI1595415OtherHIGHMARK/BLUE SHIELD
PAMU467835Medicare UPIN
PAWI1595415OtherHIGHMARK/BLUE SHIELD