Individual
DEANNA R. BRASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
825 OLD LANCASTER RD STE 170, BRYN MAWR, PA 19010-3234
(610) 527-0800
(610) 527-9868
Mailing address
PO BOX 631790, CINCINNATI, OH 45263-1790
(615) 550-4900
(615) 550-4941
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MB07415400
NJ
207V00000X
Obstetrics & Gynecology Physician
OS012004
PA
207VE0102X
Reproductive Endocrinology Physician
25MB07415400
NJ
207VE0102X
Reproductive Endocrinology Physician
Primary
OS012004
PA
Other
Enumeration date
11/28/2005
Last updated
10/10/2024
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