Provider Demographics
NPI:1346511730
Name:BRIECK, PAMELA LOPCHINSKY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:LOPCHINSKY
Last Name:BRIECK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:LYNN
Other - Last Name:LOPCHINSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:219 N BROAD ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1519
Mailing Address - Country:US
Mailing Address - Phone:215-762-6071
Mailing Address - Fax:215-762-5034
Practice Address - Street 1:1375 NEWARK ROAD
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348
Practice Address - Country:US
Practice Address - Phone:610-268-3589
Practice Address - Fax:610-268-0426
Is Sole Proprietor?:No
Enumeration Date:2012-01-18
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant