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Individual

DANIELA IRIS BRISSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 327-4307
Mailing address
550 16TH ST FL 4, SAN FRANCISCO, CA 94143-2549
(415) 476-6245
(415) 476-5354

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD475477
PA
2080A0000X
Pediatric Adolescent Medicine Physician
MT222213
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2018
Last updated
09/18/2024
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