Provider Demographics
NPI:1003256710
Name:FIRTH, BRIAN GARRIOCK (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:GARRIOCK
Last Name:FIRTH
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1497 BROOKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-3931
Mailing Address - Country:US
Mailing Address - Phone:215-579-2606
Mailing Address - Fax:215-579-2833
Practice Address - Street 1:1497 BROOKFIELD RD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-3931
Practice Address - Country:US
Practice Address - Phone:215-579-2606
Practice Address - Fax:215-579-2833
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042013L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease