Individual provider · Type 1 NPI

Marisa A. Roche, P.A.

Medical Physician Assistant · Philadelphia, PA

NPI number 1376575878 Active

Practice location

800 Spruce St
Philadelphia, PA 19107-6130

Call (215) 829-2499 Map

Mailing address

PO Box 828079
Philadelphia, PA 19182-8079

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA051545 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1376575878

Marisa A. Roche, P.A.'s National Provider Identifier is 1376575878, issued on Jul 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 16, 2009.