Provider Demographics
NPI:1437755956
Name:THE PHYSICIANS INTEGRATED NETWORK, LLC
Entity Type:Organization
Organization Name:THE PHYSICIANS INTEGRATED NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/VICE CHAIR TPIN
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:BRILLIANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-686-1008
Mailing Address - Street 1:630 FREEDOM BUSINESS CTR DR FL 3
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1331
Mailing Address - Country:US
Mailing Address - Phone:484-686-1008
Mailing Address - Fax:
Practice Address - Street 1:630 FREEDOM BUSINESS CTR DR FL 3
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1331
Practice Address - Country:US
Practice Address - Phone:484-686-1008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty