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Organization

BRANTZ & LIEDMAN ASSOCIATES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD MICHAEL BRANTZ D.O. (PRESIDENT)
(215) 535-4494
Entity
Organization

Contact information

Practice address
841 E HUNTING PARK AVE, SUITE 110, PHILADELPHIA, PA 19124-4800
(213) 535-4494
(215) 535-4203
Mailing address
841 E HUNTING PARK AVE, SUITE 110, PHILADELPHIA, PA 19124-4800
(213) 535-4494
(215) 535-4203

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS003987L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00712055
PA
05
07512394
PA
Enumeration date
05/22/2006
Last updated
02/12/2010
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