Individual
BRYAN CHRISTOPHER URSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 EVERGREEN DR STE 310, GLEN MILLS, PA 19342-1059
(610) 579-3444
(610) 579-3449
Mailing address
300 EVERGREEN DR STE 310, GLEN MILLS, PA 19342-1059
(610) 579-3444
(610) 579-3449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C2-0024987
DE
207Q00000X
Family Medicine Physician
Primary
OS025738
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
06/11/2026
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