person
Dr. Richard Paul Brenner, DO
General Practice Physician in Philadelphia, Pennsylvania
NPI 1235138769

Richard Paul Brenner is a General Practice Physician based in Philadelphia, PA. Richard Paul Brenner practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Richard Paul Brenner is 1235138769 and holds a License No. OS003538L (Pennsylvania).

The current practice location address for Richard Paul Brenner is 2175 Knorr St, Philadelphia, PA and can be reached out via phone at 215-624-2491 and via fax at 215-624-4259.

Location: 2175 Knorr St, Philadelphia, PA, 19149-2307
person
Provider Profile Details
NPI Number
1235138769
Provider Name
Richard Paul Brenner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2175 Knorr St, Philadelphia, PA, 19149-2307
Phone Number
215-624-2491
Fax Number
215-624-4259
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0268562004 01 PA CIGNA HEALTHCARE
0058482000 01 PA INDEPENDENCE BLUE CROSS
19355 01 PA AETNAUSHEALTHCARE
institution
Provider Business Practice Location Address Details
Address
2175 Knorr St
City
State
Zip
19149-2307
Phone Number
215-624-2491
Fax Number
215-624-4259
person
Provider Business Mailing Address Details
Address
2175 Knorr St
City
State
Zip
19149-2307
Phone Number
215-624-2491
Fax Number
215-624-4259
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
OS003538L (Pennsylvania)
Definition
Definition to come...
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