Individual
ZACHARY BRILLIANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(800) 836-7536
Mailing address
200 N 16TH ST, PHILADELPHIA, PA 19102-1225
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MT230428
PA
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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