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Individual

BRIAN LITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 CIVIC CENTER BOULEVARD, 2ND FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104-5127
(484) 343-0893
Mailing address
3400 SPRUCE STREET, 3 W GATES, PHILADELPHIA, PA 19104-4283
(484) 343-0893

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
MD068193L
PA
2084N0400X
Neurology Physician
MD068193L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017481050001
PA
Enumeration date
07/07/2006
Last updated
09/13/2024
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