Individual
MICHAEL A HUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 SPRUCE ST, 10TH FLOOR, PHILADELPHIA, PA 19107-5701
(215) 615-3517
Mailing address
801 SPRUCE ST, 10TH FLLOR, PHILADELPHIA, PA 19107-5701
(215) 615-3517
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD025532E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011182100001
—
PA
Enumeration date
06/15/2006
Last updated
08/28/2015
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