Anderson, Brian Jacob

Anderson, Brian Jacob is an individual health care provider with primary practice located at 3400 Civic Center Blvd Pcam 1St Fl West Pavilion, Philadelphia PA 19104-5127. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Anderson, Brian Jacob can be contacted via phone (215) 615-5864.

Contact Information

Primary practice address
3400 Civic Center Blvd Pcam 1St Fl West Pavilion Philadelphia PA 19104-5127
Phone: (215) 615-5864
Fax: (215) 349-8432
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD444801 Pennsylvania
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD444801 Pennsylvania
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD444801 Pennsylvania

Profile Details

NPI number 1396987558
LBN Legal business name Anderson, Brian Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Aug 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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