Search › Pennsylvania › 2255A2300X
Shawn Rostucher
NPI 1588435648 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3429 Salmon St
Philadelphia, PA 19134 - Phone
- (267) 606-8886
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania