Healthcare Provider Details

I. General information

NPI: 1619103348
Provider Name (Legal Business Name): WILLIAM S MUSSER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 06/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5171 LIBERTY AVE
PITTSBURGH PA
15224-2254
US

IV. Provider business mailing address

PO BOX 81592
PITTSBURGH PA
15217-0392
US

V. Phone/Fax

Practice location:
  • Phone: 412-683-2414
  • Fax:
Mailing address:
  • Phone: 412-683-2414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD055122L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD055122L
License Number StatePA

VIII. Authorized Official

Name: WILLIAM STUART MUSSER
Title or Position: DIRECTOR
Credential: M.D.
Phone: 412-683-2414