Individual provider · Type 1 NPI
Alicia Taylor Brustein, PA
Medical Physician Assistant · Camp Hill, PA
NPI number
1639609696
Active
Practice location
425 North 21st Street, Suite 405
Camp Hill, PA 17011
Fax (855) 383-3233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | OA004204 (PA) |
| Surgical Physician Assistant | 363AS0400X | MA060420 (PA) |
| Medical Physician Assistant Primary | 363AM0700X | MA060420 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1639609696
Alicia Taylor Brustein, PA's National Provider Identifier is 1639609696, issued on Jun 13, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Camp Hill, PA. The record was last updated on Jul 31, 2019.