Individual
DR. BRIAN EDWARD GILLESPIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 N. 15TH ST., 6TH FLOOR, MS 427, PHILADELPHIA, PA 19102-1198
(215) 762-7916
Mailing address
245 N. 15TH ST., 6TH FLOOR, MS 427, PHILADELPHIA, PA 19102-1198
(215) 964-7773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT218942
PA
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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