Basic Information
Provider Information
NPI: 1821358805
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRIEL
FirstName: BRIAN
MiddleName: C
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 689
Address2: DEPARTMENT OF MEDICINE-LEHIGH VALLEY HEALTH NETWORK
City: ALLENTOWN
State: PA
PostalCode: 181051556
CountryCode: US
TelephoneNumber: 6109694370
FaxNumber:  
Practice Location
Address1: 1250 S CEDAR CREST BLVD STE 200
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181036271
CountryCode: US
TelephoneNumber: 6104028430
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/23/2012
LastUpdateDate: 11/07/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XOS016962PAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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