Individual provider · Type 1 NPI

Marissa Leigh Berlant, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1629677497 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Call (215) 316-5151 Map

Mailing address

3400 Spruce Street
Philadelphia, PA 19104-3309

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA061887 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1629677497

Marissa Leigh Berlant, PA-C's National Provider Identifier is 1629677497, issued on Oct 22, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 18, 2022.