Individual
JANELLE EIKO BROWN BRATSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(800) 879-2467
Mailing address
2929 ARCH ST FL 12, PHILADELPHIA, PA 19104-2857
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD480388
PA
208000000X
Pediatrics Physician
92-17
NM
208000000X
Pediatrics Physician
Primary
MD480388
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295993376
—
AZ
05
—
1629236716
—
AZ
05
—
1780614008
—
AZ
05
—
1871523191
—
AZ
05
—
409757
—
AZ
Enumeration date
07/31/2006
Last updated
01/03/2025
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