Provider Demographics
NPI:1073830188
Name:USSEIN, NESSIN H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NESSIN
Middle Name:H
Last Name:USSEIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2327 COTTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1008
Mailing Address - Country:US
Mailing Address - Phone:215-331-2858
Mailing Address - Fax:
Practice Address - Street 1:2327 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1008
Practice Address - Country:US
Practice Address - Phone:215-331-2858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2011-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442377183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARPI002898OtherAUTHORIZATION TO ADMINISTER INJECTABLES