Most Relevant Information
Provider Data
| NPI Number: | 1003477050 |
| Provider Name: | JENNIFER BRACKEN IMBRIALE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207V00000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | MT218305 |
Most Important Dates
| Enumeration Date: | 06/20/2019 |
| Last Updated: | 06/20/2019 |
Provider Practice Location
3401 N BROAD ST FL 7
PHILADELPHIA
PA
191405103
Practice Location Phone/Fax
| Phone: | 2157073187 |
| Fax: |
Provider Mailing Location
3401 N BROAD ST FL 7
PHILADELPHIA
PA
191405103
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
OBGYN EMR