Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS008527L | PA |
NPI | 1164477295 |
---|---|
Provider Name | Jeffrey M. Briglia |
First Address | Langhorne, PA 19047-1320 |
Second Address | Langhorne, PA 19047-1320 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 04/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G97100 | (02) | PA |