Individual
BRIAN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(215) 951-2700
Mailing address
33 SPRUCE CT, MOORESTOWN, NJ 08057-1924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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