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Individual

BRETT KENNETH IRVING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6192
(215) 829-3309
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6192
(215) 829-3309

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT220750
PA

Other

Enumeration date
10/06/2020
Last updated
10/06/2020
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