Provider Demographics
NPI:1699807446
Name:BRIGLIA, FRANK A (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
Last Name:BRIGLIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANCIS
Other - Middle Name:A
Other - Last Name:BRIGLIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1274
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-7274
Mailing Address - Country:US
Mailing Address - Phone:856-768-7337
Mailing Address - Fax:856-768-8588
Practice Address - Street 1:555 N. DUKE STREET
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-544-5090
Practice Address - Fax:302-651-5948
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA041117002080P0203X
PAMD027562E2080P0203X, 208M00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ222986992OtherTAX ID #
NJ1655809Medicaid
NJ1655809Medicaid
NJH43938Medicare UPIN