Individual
MARISSA LEIGH BERLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 316-5151
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-3309
(215) 349-8310
(215) 893-7270
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061887
PA
Other
Enumeration date
10/22/2020
Last updated
07/18/2022
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