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PRISCILLA E BRIGUGLIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7067 TIFFANY BLVD, SUITE 230, YOUNGSTOWN, OH 44514-1993
(330) 758-2748
(330) 758-3282
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001657
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000513025
ANTHEM
OH
01
BRPA17862
MEDICARE PTAN
OH
01
P00694940
MEDICARE RAILROAD
OH
Enumeration date
05/31/2006
Last updated
12/16/2014
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