Healthcare Provider Details

I. General information

NPI: 1699807446
Provider Name (Legal Business Name): FRANK A BRIGLIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRANCIS A. BRIGLIA M.D.

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 03/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 N. DUKE STREET
LANCASTER PA
17602-2250
US

IV. Provider business mailing address

PO BOX 1274
VOORHEES NJ
08043-7274
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-5090
  • Fax: 302-651-5948
Mailing address:
  • Phone: 856-768-7337
  • Fax: 856-768-8588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD027562E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number25MA04111700
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberMD027562E
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD027562E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: