Individual
BRIAN CZERNIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-4392
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-4392
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD056377L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015393100005
—
PA
Enumeration date
06/23/2006
Last updated
08/25/2015
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