Individual
DR. MARIANO EZEQUIEL BRIZZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE, THE HEART PAVILION, MEZZANINE LEVEL, WYNNEWOOD, PA 19096-3450
(484) 476-1000
(484) 476-9000
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 476-1000
(484) 476-9000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101286989
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
268336
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD491952
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME145083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08127100
LICENSE
NJ
Enumeration date
11/29/2006
Last updated
01/09/2026
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