MEDICARE: MUS ASSOCIATES, P.C.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	38MC00433300	NJ

General Provider Information

NPI Number	:	1548497647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUS ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	6035 BLVD EAST
Second Line	:
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-3834
Country	:	US
Telephone Number	:	201-453-0202
Fax Number	:	201-453-9841

Provider Business Practice Location Address
First Line	:	6035 BLVD EAST
Second Line	:
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-3834
Country	:	US
Telephone Number	:	201-453-0202
Fax Number	:	201-453-9841

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JASON TIRADO
Credential	:	D.C.
Telephone Number	:	201-453-0202

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	07/28/2009

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