Individual
MR. BRIAN KEVIN FAENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3926 NAZARETH PIKE, BETHLEHEM, PA 18020-1116
(610) 882-1593
Mailing address
2828 ALLISON LN, ALLENTOWN, PA 18104-9616
(610) 395-6886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP040604L
PA
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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