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Organization
IMMEDIATE MEDICAL CARE OF PENNSYLVANIA, LP
Active
Organization
IMMEDIATE MEDICAL CARE OF PENNSYLVANIA, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART A. BRILLIANT M.D. (PRESIDENT)
(610) 459-3278
Entity
Organization
Contact information
Practice address
1572 WILMINGTON PIKE, SUITE 1, WEST CHESTER, PA 19382-8317
(610) 459-3278
(610) 459-8642
Mailing address
1572 WILMINGTON PIKE, SUITE 1, WEST CHESTER, PA 19382-8317
(610) 459-3278
(610) 459-8642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018877650001
—
PA
01
—
1953751
BLUE SHIELD
PA
01
—
2833384000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
03/26/2007
Last updated
02/03/2011
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