Individual
RONALD P BRENNAN
Active
Individual
RONALD P BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD040424E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354036
BLUE CROSS BLUE SHIELD
OH
05
—
0019105660007
—
PA
05
—
0701315
—
OH
01
—
1402764
BLUE CROSS BLUE SHIELD
PA
Enumeration date
02/14/2006
Last updated
10/15/2009
Update your record
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