Individual
LAWRENCE FISHER BRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 615-5858
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 615-5858
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
MD023282E
PA
207RH0003X
Hematology & Oncology Physician
Primary
MD023282E
PA
207RX0202X
Medical Oncology Physician
MD023282E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006612790001
—
PA
Enumeration date
06/15/2006
Last updated
08/22/2019
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