Provider Demographics
NPI:1740301043
Name:MIHALYFI, BRIGITTE (MD)
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:
Last Name:MIHALYFI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 E PENN SQ
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9258
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:1 PLAINSBORO RD
Practice Address - Street 2:CHOP CARE NETWORK AT PRINCETON MEDICAL CENTER
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1913
Practice Address - Country:US
Practice Address - Phone:609-853-7000
Practice Address - Fax:609-497-4173
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA480592080N0001X
NJ25MA048059002080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1144103Medicaid