Healthcare Provider Details
I. General information
NPI: 1851432330
Provider Name (Legal Business Name): MARIA HELENA RESSLER PHYSICIAN ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
241 FREEPORT RD
ASPINWALL PA
15215-3035
US
IV. Provider business mailing address
241 FREEPORT RD
ASPINWALL PA
15215-3035
US
V. Phone/Fax
- Phone: 412-784-1606
- Fax: 412-784-8225
- Phone: 412-784-1606
- Fax: 412-784-8225
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | MA052681 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: