Dr. Marissa A Brunetti
Pediatrician Pediatric Critical Care Doctor
34th Street & Civic Center Boulevard Suite 9329
Philadelphia
, Pennsylvania 19104-4399
Dr. Marissa A Brunetti
Pediatrician Pediatric Critical Care Doctor
34th Street & Civic Center Boulevard Suite 9329
Philadelphia
, Pennsylvania 19104-4399
(267) 425-9300
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About
Features
Specialties
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Marissa A Brunetti
- 100 E Penn Sq The Wanamaker Building, 9th Floor, North
- Philadelphia, PA
- Zip : 19107-3323
- Phone : (267) 425-9300
Second Address
- Dr. Marissa A Brunetti
- 34th Street & Civic Center Boulevard Suite 9329
- Philadelphia, PA
- Zip : 19104-4399
- Phone : (215) 590-1858
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | D63275 | MD |
| Y | 2080P0203X | Pediatric Critical Care Doctor | MD439981 | PA |
National Provider Identifier
| NPI | 1114946738 |
|---|---|
| Provider Name | Dr. Marissa A Brunetti |
| First Address | Philadelphia, PA 19107-3323 |
| Second Address | Philadelphia, PA 19104-4399 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 16/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1026270630001 | (05) | PA |
| 226140EMD | MEDICARE PTAN (01) | PA |
| 409240600 | (05) | MD |
| KJ50GB/64687801 | CAREFIRST MARYLAND GBMC (01) | MD |
| S1390049 | CAREFIRST REGIONAL GBMC (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.