Individual
LAWRENCE C BRILLIANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
595 W STATE ST, DOYLESTOWN, PA 18901-2554
(215) 345-2362
Mailing address
2605 SHORE RD, NORTHFIELD, NJ 08225-2136
(609) 365-5333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
194612
NY
207P00000X
Emergency Medicine Physician
Primary
25MA06961300
NJ
207P00000X
Emergency Medicine Physician
MD056072E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015420580005
—
PA
Enumeration date
02/03/2006
Last updated
01/27/2025
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