Individual
WILLIAM JOSEPH BRIGLIA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4293 RT 47, MEDICAL DEPT BAYSIDE STATE PRISON, LEESBURG, NJ 08327
(856) 785-9370
(856) 785-9262
Mailing address
4293 RT 47, MEDICAL DEPT BAYSIDE STATE PRISON, LEESBURG, NJ 08327
(856) 785-9370
(856) 785-9262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05471600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5992605
—
NJ
Enumeration date
08/23/2007
Last updated
08/23/2007
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