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Individual
JOHN A. BRENNAN
Active
Individual
JOHN A. BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19899
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16127
BCBS PROVIDER NUMBER
IA
Enumeration date
02/06/2006
Last updated
07/31/2013
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