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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISSA JEAN BRUSSTAR, PA-C

Active

MARISSA JEAN BRUSSTAR, PA-C is a Medical Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1750546396 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PHILADELPHIA, PA

Registration Details

NPI Number
1750546396
Provider Type
Individual
Gender
Female
NPI Issued
Jul 23, 2008 (18.059699979095 yrs)
Last Updated
Nov 18, 2016
License
MA052755 (PA)

Practice Information

Address
51 N 39TH ST
SUITE W130
PHILADELPHIA, PA, 191042640
Browse PA providers · Browse ZIP 19104
Phone
2156629436
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PHILADELPHIA, PA

Name Credential NPI
MR. JOSEPH D. NORRIS PA-C 1346247905
ROBERT W ROTHROCK PA-C 1508866377
MS. RITA A FOUST PA-C 1114906757
MR. GIUSEPPE ANTONIO SCRENCI MS, PA-C 1427020643
BRYAN DENNIS BOOTH PA-C 1548235179
MR. PAUL HOWELL ROLSTON M.M.SC., P.A.-C 1710953203
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.