MEDICARE: DR. GARY W. MULLER M.D.

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	207X00000X	Orthopaedic Surgery Physician	MD020827E	PA

General Provider Information

NPI Number	:	1235173808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY W. MULLER M.D.

Provider Business Mailing Address
First Line	:	7604 CENTRAL AVE
Second Line	:	SUITE 100
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2433
Country	:	US
Telephone Number	:	215-342-8330
Fax Number	:	215-342-5383

Provider Business Practice Location Address
First Line	:	7604 CENTRAL AVE
Second Line	:	SUITE 100
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2433
Country	:	US
Telephone Number	:	215-342-8330
Fax Number	:	215-342-5383

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	03/05/2013

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