MEDICARE: MUSA AJAJ

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	111N00000X	Chiropractor	DC006475L	PA

General Provider Information

NPI Number	:	1033124524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUSA AJAJ

Provider Business Mailing Address
First Line	:	441 E WYOMING AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-4532
Country	:	US
Telephone Number	:	215-457-4422
Fax Number	:	215-457-4410

Provider Business Practice Location Address
First Line	:	441 E WYOMING AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-4532
Country	:	US
Telephone Number	:	215-457-4422
Fax Number	:	215-457-4410

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

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Directions to “ MUSA AJAJ ” Practice Location

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