Individual
GUY RICHARD BRIGNOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1930 S BROAD ST UNIT 9, PHILADELPHIA, PA 19145-2328
(800) 448-6767
(215) 339-8103
Mailing address
1930 S BROAD ST UNIT 9, PHILADELPHIA, PA 19145-2328
(800) 448-6767
(215) 339-8103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000554
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018341500005
—
PA
Enumeration date
08/11/2005
Last updated
02/10/2023
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