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NPI Code Detail

MEDICARE: JOSEPH BRIAN PRIGG PA-C,PHD

MEDICARE: JOSEPH BRIAN PRIGG PA-C,PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantC50000284DE

General Provider Information

NPI Number : 1245233105
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH BRIAN PRIGG PA-C,PHD
Provider Business Mailing Address
First Line : 344 CHARLIES CT
Second Line :
City : FELTON
State : DE
Zip : 19943-5276
Country : US
Telephone Number : 302-922-2295
Fax Number :
Provider Business Practice Location Address
First Line : 379 WALMART DR STE A
Second Line :
City : CAMDEN
State : DE
Zip : 19934-1365
Country : US
Telephone Number : 302-698-4441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/17/2025

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