Individual
MARISSA PULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 ST LUKES BLVD, SUITE 200, EASTON, PA 18045-5670
(484) 503-0055
(484) 503-0003
Mailing address
1700 ST LUKES BLVD, SUITE 200, EASTON, PA 18045-5670
(484) 503-0055
(484) 503-0003
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053918
PA
Other
Enumeration date
06/15/2009
Last updated
03/29/2016
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