MEDICARE: PAUL C MUSTO 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	207RH0003X	Hematology & Oncology Physician	50948	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	B20041401	OTHER	MA	CIGNA
3	0027771	OTHER	MA	AETNA US HEALTH
4	705747	OTHER	MA	TUFTS HEALTH CARE
5	9241	OTHER	MA	HARVARD PILGRIM
6	J02033	OTHER	MA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1699758896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL C MUSTO M.D.

Provider Business Mailing Address
First Line	:	10 WILLARD ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-1281
Country	:	US
Telephone Number	:	617-769-1162
Fax Number	:	617-770-9491

Provider Business Practice Location Address
First Line	:	51 PERFORMANCE DR
Second Line	:	SUITE 110
City	:	WEYMOUTH
State	:	MA
Zip	:	02189-3141
Country	:	US
Telephone Number	:	617-769-1162
Fax Number	:	617-770-9491

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	03/20/2017

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Directions to “ PAUL C MUSTO M.D.” Practice Location

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