Individual
DR. PHILANDER BOWEN BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 UPPER CHESAPEAKE DR, SUITE 206, BEL AIR, MD 21014-4339
(410) 879-9100
(410) 879-0227
Mailing address
520 UPPER CHESAPEAKE DR, SUITE 206, BEL AIR, MD 21014-4339
(410) 879-9100
(410) 879-0227
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0001318
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026031200
—
MD
01
—
103438
KAISER
MD
01
—
25164
EHP
MD
01
—
317866
MAMSI
MD
01
—
3529111
AETNA HMO
MD
01
—
39909003
CAREFIRST
MD
01
—
4328636
AETNA PPO
MD
01
—
5391
HELIX
MD
01
—
E5130010
CAREFIRST BLUECHOICE
DC
01
—
P00282834
RAILROAD MEDICARE
MD
Enumeration date
11/10/2006
Last updated
09/24/2010
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