Individual
DR. CHARLES BRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
C10003742
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000673340
—
PA
05
—
01173775
—
NY
05
—
0967009
—
NJ
05
—
1293711
—
MD
05
—
6703224
—
VA
Enumeration date
09/28/2006
Last updated
09/07/2011
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