Individual
DR. CHARLES BREISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE, SUITE 467 MOB EAST, WYNNEWOOD, PA 19096-3450
(610) 896-7424
(610) 896-6171
Mailing address
100 E LANCASTER AVE, SUITE 467 LANKENAU MOB EAST, WYNNEWOOD, PA 19096-3450
(610) 896-7424
(610) 896-6171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD439955
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD439955
PA
Other
Enumeration date
06/27/2008
Last updated
02/05/2015
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