Cevasco, Marisa
Cevasco, Marisa is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104-4238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Cevasco, Marisa can be contacted via phone (215) 662-2050.Contact Information
Primary practice address
3400 Spruce St
Philadelphia PA 19104-4238
Phone: (215) 662-2050
Fax: (215) 615-0829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 288226 | New York |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD467275 | Pennsylvania |
Profile Details
| NPI number | 1104098169 |
|---|---|
| LBN Legal business name | Cevasco, Marisa |
| Credentials | M.D., M.P.H |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2008 |
| Last updated | May 7th, 2019 - about 6 years ago |
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 | 1104098169 | NPPES |
| New York | Other | 288226 | NYS LICENSE |
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