Provider Demographics
NPI:1821032186
Name:BRIONES, MARIELE C (MD)
Entity type:Individual
Prefix:
First Name:MARIELE
Middle Name:C
Last Name:BRIONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:795 E MARSHALL ST STE G2
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4400
Mailing Address - Country:US
Mailing Address - Phone:610-200-6613
Mailing Address - Fax:610-680-4898
Practice Address - Street 1:795 E MARSHALL ST STE G2
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4400
Practice Address - Country:US
Practice Address - Phone:610-200-6613
Practice Address - Fax:610-680-4898
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD420273207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102026564Medicaid
PA102026564Medicaid