Provider Demographics
NPI:1609580380
Name:WARREN D BRISCOE & ASSOCIATES PC
Entity Type:Organization
Organization Name:WARREN D BRISCOE & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-713-0330
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00821-0159
Mailing Address - Country:US
Mailing Address - Phone:340-713-0330
Mailing Address - Fax:340-713-0335
Practice Address - Street 1:4504 ESTATE DIAMOND STE 4
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-5233
Practice Address - Country:US
Practice Address - Phone:340-713-0330
Practice Address - Fax:340-713-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty