MEDICARE: DR. DAVID MUSARRA DDS

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	122300000X	Dentist	22DI01307300	NJ

General Provider Information

NPI Number	:	1134347461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MUSARRA DDS

Provider Business Mailing Address
First Line	:	233 WASHINGTON ST
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-4738
Country	:	US
Telephone Number	:	201-795-2111
Fax Number	:	201-795-0666

Provider Business Practice Location Address
First Line	:	233 WASHINGTON ST
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-4738
Country	:	US
Telephone Number	:	201-795-2111
Fax Number	:	201-795-0666

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	02/22/2026

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