Individual
DR. BRIAN JACOB ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, PCAM 1ST FL WEST PAVILION, PHILADELPHIA, PA 19104-5127
(215) 615-5864
(215) 349-8432
Mailing address
3400 CIVIC CENTER BLVD FL 1, PHILADELPHIA, PA 19104-5161
(215) 662-3202
(215) 349-8432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD444801
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD444801
PA
207RP1001X
Pulmonary Disease Physician
MD444801
PA
Other
Enumeration date
04/01/2009
Last updated
08/21/2019
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