Provider Demographics
NPI:1285785550
Name:MUSCELLI, STEPHANIE DAY (OD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:DAY
Last Name:MUSCELLI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MINQUIL DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-1318
Mailing Address - Country:US
Mailing Address - Phone:302-894-1885
Mailing Address - Fax:
Practice Address - Street 1:1000 E PULASKI HWY
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6306
Practice Address - Country:US
Practice Address - Phone:410-620-5251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA 1596152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist