Individual
MR. ROBERT P. BRISLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C20004345
DE
207LP3000X
Pediatric Anesthesiology Physician
Primary
C20004345
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001391820
—
PA
05
—
005702275
—
VA
05
—
02291981
—
NY
05
—
05460382
—
IA
05
—
1597817
—
MD
05
—
20002293
—
MN
05
—
6197809
—
NJ
05
—
7611180
—
NC
05
—
Q04345
—
SC
Enumeration date
09/28/2006
Last updated
04/14/2017
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