Individual
DR. BRIAN V ENTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107-4870
(215) 955-6000
Mailing address
1920 KIMBALL ST, PHILADELPHIA, PA 19146-2621
(516) 376-1776
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
05/30/2025
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