Individual
THOMAS JOHN PISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104-4206
(215) 662-3606
(215) 349-5579
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(215) 662-3606
(215) 349-5579
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25MA12721300
NJ
2084N0400X
Neurology Physician
Primary
MD488493
PA
Other
Enumeration date
06/29/2020
Last updated
11/25/2025
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