Individual
STEPHANIE DELORES SOSSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1307 FEDERAL ST, SUITE B100, PITTSBURGH, PA 15212-4769
(412) 359-8900
(412) 359-8977
Mailing address
1307 FEDERAL ST, SUITE B100, PITTSBURGH, PA 15212-4769
(412) 359-8900
(412) 359-8977
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055666
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103187069
—
PA
Enumeration date
11/30/2011
Last updated
03/14/2017
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