Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | MD017104E | PA |
NPI | 1053373464 |
---|---|
Provider Name | Alan Stuart Josselson |
First Address | Norristown, PA 19401-3353 |
Second Address | Norristown, PA 19401-3353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 22/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0007043110004 | (05) | PA |
C28295 | (02) | PA |