Individual
JAMIE L. BRISENDINE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Mailing address
523 LEXINGTON AVE, CHALFONT, PA 18914-1803
(215) 822-3488
(215) 822-3488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051577
PA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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