Individual
JENNIFER BRACKEN IMBRIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST FL 7, PHILADELPHIA, PA 19140-5103
(215) 707-3187
Mailing address
3401 N BROAD ST FL 7, PHILADELPHIA, PA 19140-5103
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MT218305
PA
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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