Individual
SUSAN ELAINE PISCITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 S TOLLGATE RD, BEL AIR, MD 21015-5819
(410) 303-0639
Mailing address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R116922
MD
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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