Individual
PAUL PHILIP BRICKNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
48 BOXWOOD DR, HERSHEY, PA 17033-2611
(717) 534-1122
Mailing address
48 BOXWOOD DR, HERSHEY, PA 17033-2611
(717) 534-1122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD030430L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD030430L
MEDICAL LICENSE
PA
Enumeration date
05/04/2012
Last updated
05/04/2012
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