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General NPI Number Information
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NPI Number | 1053373464
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Entity Type | Individual
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Provider Name | ALAN STUART JOSSELSON MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 4070 BUTLER PIKE STE 200
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1510
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Country | US
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Telephone | 484-622-2320
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Fax | 424-622-2319
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Provider Business Mailing Address
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Address Line | 4070 BUTLER PIKE STE 200
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1510
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Country | US
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Telephone | 484-622-2320
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Fax | 484-622-2319
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD017104E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 4301505529
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License Number State | MI
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