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Individual

DR. MARIE BRISLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
744 E LINCOLN HWY, 110, COATESVILLE, PA 19320-3590
(610) 380-4660
(610) 380-4664
Mailing address
2600 W 9TH ST, 2 NORTH, CHESTER, PA 19013-2040
(610) 485-3800
(610) 485-4221

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C2-0007391
DE
208000000X
Pediatrics Physician
Primary
OS-006887-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001276031
PA
Enumeration date
07/24/2006
Last updated
06/16/2011
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