Individual
DR. BRIAN A. BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
245 N 15TH ST, PHILADELPHIA, PA 19102-1101
(215) 762-1693
Mailing address
245 N 15TH ST, PHILADELPHIA, PA 19102-1101
(215) 762-1693
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MB08907400
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
OS014701
PA
Other
Enumeration date
04/06/2009
Last updated
11/30/2023
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