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Contact Information

MARISA CEVASCO, M.D., M.P.H
3400 SPRUCE ST
PHILADELPHIA, PA19104-4238
 Phone: 215-662-2050
 Fax: 215-615-0829
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARISA CEVASCO · (Female)

NPI Number 1104098169
Status Active
Credentials M.D., M.P.H
Entity Individual
Enumeration date 03/31/2008
Last updated 05/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 288226
  • PA License # MD467275
  • NY Other 288226 NYS LICENSE
Hospital affiliation(s)
  • HOSPITAL OF UNIV OF PENNSYLVANIA - (Acute Care)
    34TH & SPRUCE STS
    PHILADELPHIA, PA 19104
  • PENN PRESBYTERIAN MEDICAL CENTER - (Acute Care)
    51 NORTH 39TH STREET
    PHILADELPHIA, PA 19104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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