Brunetti, Marissa A
Brunetti, Marissa A is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Brunetti, Marissa A can be contacted via phone (800) 243-1455.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (800) 243-1455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D63275 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD439981 | Pennsylvania |
Profile Details
| NPI number | 1114946738 |
|---|---|
| LBN Legal business name | Brunetti, Marissa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Sep 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114946738 | NPPES |
| Pennsylvania | MEDICAID | 1026270630001 | |
| Pennsylvania | Other | KJ50GB/64687801 | |
| Pennsylvania | Other | S1390049 | |
| Pennsylvania | MEDICAID | 409240600 | |
| Pennsylvania | Other | 226140EMD |
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