IndividualActive
Robert Mustillo, M.D.
NPI 1649470295 · Sports Medicine (Internal Medicine) Physician · Newark, NJ
Provider details
- NPI number
- 1649470295
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MA053782 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
221 Chestnut St
Newark, NJ 07105-1558
Phone: (973) 878-3990
Approximate (ZIP-level) locationGet directions
Mailing address
221 Chestnut St
Newark, NJ 07105-1558
Registry dates
- Enumerated
- 2007-07-23
- Last updated
- 2008-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.