Individual
BRYAN NOMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(484) 622-0959
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(484) 622-0959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT220690
PA
207R00000X
Internal Medicine Physician
125064465
IL
Other
Enumeration date
05/25/2014
Last updated
01/25/2024
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