Individual
DR. MARISA SARA PRELACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF NEUROLOGY, PHILADELPHIA, PA 19104-4319
(267) 254-9919
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF NEUROLOGY, PHILADELPHIA, PA 19104-4319
(267) 254-9919
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT201266
PA
2084N0400X
Neurology Physician
Primary
MT201266
PA
Other
Enumeration date
06/21/2012
Last updated
07/08/2014
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