Provider Demographics
NPI:1538426804
Name:MUSHI, ISRAEL SK (PA-C)
Entity type:Individual
Prefix:MR
First Name:ISRAEL
Middle Name:SK
Last Name:MUSHI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:2804 SOUTHAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-1207
Mailing Address - Country:US
Mailing Address - Phone:215-677-0930
Mailing Address - Fax:
Practice Address - Street 1:1684 DIXWELL AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-3111
Practice Address - Country:US
Practice Address - Phone:203-787-7191
Practice Address - Fax:203-787-7191
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA053295363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical