Organization
IMMEDIATE MEDICAL CARE OF PENNSYLVANIA, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART A. BRILLIANT M.D. (PRESIDENT)
(610) 459-3278
Entity
Organization
Contact information
Practice address
1572 WILMINGTON PIKE, SUITE 1, WEST CHESTER, PA 19382-8317
(610) 459-3278
(610) 459-8642
Mailing address
1572 WILMINGTON PIKE, SUITE 1, WEST CHESTER, PA 19382-8317
(610) 459-3278
(610) 459-8642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018877650001
—
PA
01
—
1953751
BLUE SHIELD
PA
01
—
2833384000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
03/26/2007
Last updated
02/03/2011
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