Individual
DR. HERNAN R BRIZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8019 FRANKFORD AVE, PHILADELPHIA, PA 19136-2786
(215) 694-0469
(215) 635-4151
Mailing address
34 LATHAM PARK, ELKINS PARK, PA 19027
(215) 635-8929
(215) 635-4151
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD037850L
PA
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
MD037850L
PA
Other
Enumeration date
05/01/2007
Last updated
06/07/2015
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