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PETER JOHN MUSTILLO MD

Allergy and Immunology

Columbus, Ohio

Provider NPI: 1730173758

Provider Information:
 PETER JOHN MUSTILLO MD


Practice Location:
700 CHILDRENS DR  COLUMBUS, OH 43205 US
Tel: 614-722-5500  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
OH35073238
N207R00000XPhysicians
Internal Medicine
OH35073238
N207RA0201XPhysicians
Internal Medicine
OH35073238
N208000000XPhysicians
Pediatrics
OH35073238
Y2080P0201XPhysicians
Pediatrics
OH35073238

Other Provider Identifiers:

IssuerNumberStateType
2154403OH05
3004870000WV05
64047764KY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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