Ira Brenner M.D.

NPI 1144468372 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1144468372
Gender Male
Enumeration Date 01/26/2009
Last Updated 01/26/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
10 PRESIDENTIAL BLVD
SUITE 116
BALA CYNWYD PA, 19004-1107, US
Phone (610) 667-3183
Fax (610) 667-4401
Business Location
10 PRESIDENTIAL BLVD
SUITE 116
BALA CYNWYD PA, 19004-1107, US
Phone (610) 667-3183
Fax (610) 667-4401
Toxanomy
Taxonomy Code 2084P0800X
License State Pennsylvania
License Number MD022052E
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According to our database, Dr. Ira Brenner M.D. NPI is 1144468372, taxonomy code is 2084P0800X and license number is MD022052E, license state is located at Pennsylvania. Ira Brenner M.D. physically located at 10 Presidential Blvd, Bala Cynwyd PA, 19004-1107. NPI Number Ira Brenner M.D. has the Individual type.

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1144468372 NPI number is provided on an as is basis without warranty of any kind. 1144468372 is maintained by the National Plan & Provider Enumeration System. The contents of Ira Brenner M.D. are for informational purposes only.