Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | DO034918 | DC |
N | 207VX0000X | Obstetrician | DO034918 | DC |
NPI | 1033572268 |
---|---|
Provider Name | Tina Musa |
First Address | Newark, NJ 07103-2496 |
Second Address | Upper Marlboro, MD 20774-5374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2016 |
Last Update Date | 23/06/2021 |