Kesselman, Marisa S

Kesselman, Marisa S is an individual health care provider with primary practice located at 6944 Lake Worth Rd 2Nd Floor, Lake Worth FL 33467-2948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Kesselman, Marisa S can be contacted via phone (561) 434-0060.

Contact Information

Primary practice address
6944 Lake Worth Rd 2Nd Floor Lake Worth FL 33467-2948
Phone: (561) 434-0060
Fax: (561) 434-0598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD26427 Maine
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0060547 Florida

Profile Details

NPI number 1881629269
LBN Legal business name Kesselman, Marisa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 30th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881629269 NPPES
Florida MEDICAID 055256900

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