Individual
KENNETH E BRUMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1136 TOWER LN E, PENN VALLEY, PA 19072-1132
(610) 331-5334
Mailing address
1136 TOWER LN E, PENN VALLEY, PA 19072-1132
(610) 331-5334
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA07395400
NJ
2085R0202X
Diagnostic Radiology Physician
C1-0005480
DE
2085R0202X
Diagnostic Radiology Physician
Primary
MD066362L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001708585
—
PA
Enumeration date
08/19/2005
Last updated
10/11/2016
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