person
Mark J Brenner, MD
Diagnostic Radiology Physician in Worcester, Massachusetts
NPI 1902873409

Mark J Brenner is a Diagnostic Radiology Physician based in Worcester, MA and is specialized in Diagnostic Radiology. Mark J Brenner practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Mark J Brenner is 1902873409 and holds a License No. D0041640 (Massachusetts).

The current practice location address for Mark J Brenner is 20 Washington Sq, Worcester, MA and can be reached out via phone at 508-363-6218.

Location: 20 Washington Sq, Worcester, MA, 01604-4013
person
Provider Profile Details
NPI Number
1902873409
Provider Name
Mark J Brenner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20 Washington Sq, Worcester, MA, 01604-4013
Phone Number
508-363-6218
Fax Number
Provider Enumeration Date
03/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110085074A 05 MA
920004528 01 MD RR MEDICARE
168741700 05 MD
920007556 01 MD RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
20 Washington Sq
City
State
Zip
01604-4013
Phone Number
508-363-6218
Fax Number
person
Provider Business Mailing Address Details
Address
20 Washington Sq
City
State
Zip
01604-4013
Phone Number
508-363-6218
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
54099 (Massachusetts)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
D0041640 (Maryland)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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