# MS-HC PA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790448454
- **Authorized official:** CONSTANTINE MISOUL (MEDICAL DOCTOR)
- **Authorized official phone:** (410) 933-5618

## Contact information

- **Practice address:** 901 W ASHLAND AVE, GLENOLDEN, PA 19036-1101
- **Practice address phone:** (610) 461-6522
- **Mailing address:** 9601 PULASKI PARK DR STE 417, MIDDLE RIVER, MD 21220-1409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2021
- **Last updated:** 10/20/2021