# FIRST BRICK CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174349724
- **Authorized official:** SYMANTHA HOWER (DIRECTOR)
- **Authorized official phone:** (267) 421-8193

## Contact information

- **Practice address:** 2757 N 5TH ST, PHILADELPHIA, PA 19133-2700
- **Practice address phone:** (215) 839-9661
- **Mailing address:** 4017 INDIAN GUIDE RD, LAFAYETTE HILL, PA 19444-1308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/27/2024
- **Last updated:** 11/27/2024