Organization
HARVEY P BRILLIANT, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY P BRILLIANT MD (OWNER/PRESIDENT)
(410) 789-1111
Entity
Organization
Contact information
Practice address
7102 RITCHIE HWY, LOWER LEVEL, GLEN BURNIE, MD 21061-2904
(410) 789-1111
(410) 760-8321
Mailing address
7102 RITCHIE HWY, LOWER LEVEL, GLEN BURNIE, MD 21061-2904
(410) 789-1111
(410) 760-8321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D31608
MD
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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