Individual
BRIAN WILLIAM COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2532
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD476758
PA
208000000X
Pediatrics Physician
MD476758
PA
Other
Enumeration date
04/29/2018
Last updated
11/09/2022
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