Individual
DR. BRIAN J SIDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3720 NEW GERMANY RD, EBENSBURG, PA 15931
(814) 472-9390
(814) 472-1166
Mailing address
PO BOX 58, EBENSBURG, PA 15931-0058
(814) 472-9390
(814) 472-1166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
PA
174H00000X
Health Educator
—
PA
183500000X
Pharmacist
Primary
RP445592
PA
Other
Enumeration date
11/02/2011
Last updated
07/21/2022
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