Individual
BRIAN PATRICK STRUYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34TH STREET AND CIVIC CENTER BLVD,, SUITE 9329, PHILADELPHIA, PA 19104-4399
(215) 590-1858
(215) 590-1415
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(297) 425-9300
(297) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
A100130
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD435192
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022236700001
—
PA
01
—
190520EJL
MEDICARE PTAN
PA
Enumeration date
12/20/2005
Last updated
04/11/2013
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