Marissa Jean Brusstar in Philadelphia - Medical
Marissa Jean Brusstar - NPI 1750546396
Marissa Jean Brusstar is a Medical in Philadelphia, Pennsylvania. Marissa Jean Brusstar practices all healthcare services and medical treatments related to Medical. The NPI Number for Marissa Jean Brusstar is 1750546396. The last update date is 2016-11-18.
Marissa Jean Brusstar's current location address is 51 N 39th St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156629436. The mailing address for Marissa Jean Brusstar is 51 N 39th St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa Jean Brusstar |
|---|---|
| Address | 51 N 39th St, Philadelphia, Pennsylvania |
| Phone Number | 2156629436 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750546396 |
|---|---|
| Provider Enumeration Date | 2008-07-23 |
| Last Updated Date | 2016-11-18 |
Provider Mailing Address Detail
| Address | 51 N 39th St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191042640 |
| Phone Number | 2156629436 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MA052755 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Marissa Jean Brusstar's 1750546396?
The Marissa Jean Brusstar's NPI (National Provider Identifier) Number is 1750546396. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marissa Jean Brusstar's physical address?
The Marissa Jean Brusstar is physically located at 51 N 39Th St, in the city of Philadelphia, PA, with the postal code 191042640.
What is Marissa Jean Brusstar's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marissa Jean Brusstar's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
When did Marissa Jean Brusstar receive its 1750546396 assignment?
The Marissa Jean Brusstar was assigned its 1750546396 on 2008-07-23, which is the date when this unique identifier was issued to the organization.
When was the Marissa Jean Brusstar's information last updated?
The Marissa Jean Brusstar's information was last updated on 2016-11-18.