Provider Demographics
NPI:1548372733
Name:MUSUMECI, SALVATORE JR (BBA, RDCS, RDMS, RVT)
Entity type:Individual
Prefix:MR
First Name:SALVATORE
Middle Name:
Last Name:MUSUMECI
Suffix:JR
Gender:M
Credentials:BBA, RDCS, RDMS, RVT
Other - Prefix:MR
Other - First Name:SALVATORE
Other - Middle Name:
Other - Last Name:MUSUMECI
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7378 W ATLANTIC BLVD # 398
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4214
Mailing Address - Country:US
Mailing Address - Phone:954-871-6018
Mailing Address - Fax:
Practice Address - Street 1:1015 MIRAMAR DR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-6927
Practice Address - Country:US
Practice Address - Phone:561-276-1125
Practice Address - Fax:561-276-7698
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD51079246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography