| NPI Details | |
|---|---|
| NPI | 1073780755 |
| Gender | Male |
| Enumeration Date | 05/13/2008 |
| Last Updated | 05/13/2008 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 2250 HICKORY RD STE 240 PLYMOUTH MEETING PA, 19462-1047, US |
|
| Phone | (800) 879-4471 |
| Fax | |
| Business Location | |
|---|---|
| 700 LOWER STATERD APT 22 C NORTH WALES PA, 19454, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 183700000X |
| License State | |
| License Number | |
| Remove 1073780755 NPI Number | |
According to our database, Brian Reisig NPI is 1073780755, taxonomy code is 183700000X Brian Reisig physically located at 2250 Hickory Rd, Plymouth Meeting PA, 19462-1047. NPI Number Brian Reisig has the Individual type.
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1073780755 NPI number is provided on an as is basis without warranty of any kind. 1073780755 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Reisig are for informational purposes only.
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