Individual
MARISSA A DURAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
450 CHEW ST, ALLENTOWN, PA 18102-3434
(610) 776-4888
(610) 776-4895
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6048
(833) 213-6428
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060203
PA
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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