Individual
BRIAN RICHARD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
34TH & CIVIC CENTER BLVD, 9NW55, MAIN HOSPITAL, PHILADELPHIA, PA 19104
(215) 590-1221
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CARDIOLOGY - 8NW, PHILADELPHIA, PA 19104-4319
(215) 590-3345
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT201284
PA
2080P0202X
Pediatric Cardiology Physician
Primary
MD454745
PA
Other
Enumeration date
06/21/2012
Last updated
06/14/2018
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