Provider Demographics
NPI:1821032186
Name:BRIONES, MARIELE C (MD)
Entity Type:Individual
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First Name:MARIELE
Middle Name:C
Last Name:BRIONES
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Gender:F
Credentials:MD
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Mailing Address - Street 1:412 CREAMERY WAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2500
Mailing Address - Country:US
Mailing Address - Phone:610-594-7590
Mailing Address - Fax:610-594-2625
Practice Address - Street 1:795 E MARSHALL ST
Practice Address - Street 2:SUITE G2
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4400
Practice Address - Country:US
Practice Address - Phone:610-431-7929
Practice Address - Fax:610-594-2625
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
PAMD420273207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102026564Medicaid
PA102026564Medicaid