Jan K Brydon
Dermatologist
311 W 24th St Ste 305
Erie
, Pennsylvania 16502-2666
Jan K Brydon
Dermatologist
311 W 24th St Ste 305
Erie
, Pennsylvania 16502-2666
(814) 454-4484
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Jan K Brydon
- 311 W 24th St Ste 305
- Erie, PA
- Zip : 16502-2666
- Phone : (814) 454-4484
Second Address
- Jan K Brydon
- 311 W 24th St Ste 305
- Erie, PA
- Zip : 16502-2666
- Phone : (814) 454-4484
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD029742E | PA |
National Provider Identifier
| NPI | 1053479980 |
|---|---|
| Provider Name | Jan K Brydon |
| First Address | Erie, PA 16502-2666 |
| Second Address | Erie, PA 16502-2666 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 30/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B37665 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.