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Organization
DOUGLAS J. BRUNNER, M. D.
Active
Organization
DOUGLAS J. BRUNNER, M. D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J. BRUNNER MD (MD)
(610) 595-6521
Entity
Organization
Contact information
Practice address
175 E CHESTER PIKE, RIDLEY PARK, PA 19078-2212
(610) 595-6542
(610) 595-6077
Mailing address
175 E CHESTER PIKE, RIDLEY PARK, PA 19078-2212
(610) 595-6521
(610) 595-6077
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD027564E
PA
Other
Enumeration date
02/09/2007
Last updated
10/15/2007
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