MEDICARE: ADAM MUZALEWSKI PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT010711L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2125286000	OTHER	PA	INDEPENDENCE BLUE SHEILD
2	50056180	OTHER	PA	CAPITAL BLUE CROSS
3	7129458	OTHER	PA	AETNA
4	819953	OTHER	PA	FIRST PRIORITY HEALTH
5	1441422	OTHER	PA	BLUE SHIELD

General Provider Information

NPI Number	:	1477523751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM MUZALEWSKI PT

Provider Business Mailing Address
First Line	:	112 FREEDOM COURT
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	RTE. 209
Second Line	:	HC#1 BOX 110
City	:	BRODHEADSVILLE
State	:	PA
Zip	:	18322-9532
Country	:	US
Telephone Number	:	570-992-4400
Fax Number	:	570-992-5262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	07/10/2007

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Directions to “ ADAM MUZALEWSKI PT” Practice Location

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