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Brian Lee Ju, MD
Diagnostic Radiology Physician in Philadelphia, Pennsylvania
NPI 1710240601

Brian Lee Ju is a Diagnostic Radiology Physician based in Philadelphia, PA and is specialized in Diagnostic Radiology. Brian Lee Ju practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Brian Lee Ju is 1710240601 and holds a License No. MT202201 (Pennsylvania).

The current practice location address for Brian Lee Ju is 51 N 39Th St, Philadelphia, PA and can be reached out via phone at 215-349-5454.

Location: 51 N 39Th St, Philadelphia, PA, 19104-2640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710240601
Provider Name
Brian Lee Ju
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
51 N 39Th St, Philadelphia, PA, 19104-2640
Phone Number
215-349-5454
Fax Number
Provider Enumeration Date
06/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
51 N 39Th St
City
Philadelphia
State
Pennsylvania
Zip
19104-2640
Phone Number
215-349-5454
Fax Number
person
Provider Business Mailing Address Details
Address
51 N 39Th St
City
Philadelphia
State
Pennsylvania
Zip
19104-2640
Phone Number
215-349-5454
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD452269 (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT202201 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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