Individual provider · Type 1 NPI
Marissa Jean Brusstar, PA-C
Medical Physician Assistant · Philadelphia, PA
NPI number
1750546396
Active
Practice location
51 N 39th St, Suite W130
Philadelphia, PA 19104-2640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA052755 (PA) |
Medical Physician Assistant: Definition to come...
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- Alexander Raymond Scaringe, PA-CMedical Physician Assistant Philadelphia, PA NPI 1013483049
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About NPI 1750546396
Marissa Jean Brusstar, PA-C's National Provider Identifier is 1750546396, issued on Jul 23, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 18, 2016.