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NPI Code Detail

MEDICARE: BRIAN LITT MD

MEDICARE: BRIAN LITT MD
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
12084N0400XNeurology PhysicianMD068193LPA
22084E0001XEpilepsy PhysicianMD068193LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932131273
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN LITT MD
Provider Business Mailing Address
First Line : 3400 SPRUCE STREET
Second Line : 3 W GATES
City : PHILADELPHIA
State : PA
Zip : 19104-4283
Country : US
Telephone Number : 484-343-0893
Fax Number :
Provider Business Practice Location Address
First Line : 3400 CIVIC CENTER BOULEVARD
Second Line : 2ND FLOOR, SOUTH PAVILION
City : PHILADELPHIA
State : PA
Zip : 19104-5127
Country : US
Telephone Number : 484-343-0893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 09/13/2024

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Directions to “ BRIAN LITT MD” Practice Location

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