Losasso, Alisa A.

Losasso, Alisa A. is an individual health care provider with primary practice located at 833 Chestnut Street East Suite 300, Philadelphia PA 19107-4405. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Losasso, Alisa A. can be contacted via phone (215) 861-8830.

Contact Information

Primary practice address
833 Chestnut Street East Suite 300 Philadelphia PA 19107-4405
Phone: (215) 861-8830
Fax: (215) 861-8833
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD074378L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD074378L Pennsylvania

Profile Details

NPI number 1659369551
LBN Legal business name Losasso, Alisa A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Sep 2nd, 2011 - about 13 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 1659369551 NPPES
Pennsylvania MEDICAID 0019062780007

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