Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0204X | Pediatric Emergency Doctor | C10006308 | DE |
Y | 2080P0216X | Pediatric Rheumatologist | C10006308 | DE |
NPI | 1588755847 |
---|---|
Provider Name | Dr. Annemarie C. Brescia |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 07/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001917398 | (05) | PA |
8934908 | (05) | NJ |
H70956 | (02) |