Organization
MARY ANNE FREEMAN BRNDJAR DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANNE FREEMAN BRNDJAR DO (PHYSICIAN)
(610) 820-0300
Entity
Organization
Contact information
Practice address
4 W MAIN ST, MACUNGIE, PA 18062-1120
(610) 965-6200
(610) 965-6211
Mailing address
4 W MAIN ST, MACUNGIE, PA 18062-1120
(610) 965-6200
(610) 965-6211
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS008332L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001537175
HIGHMARK BLUE SHIELD
—
01
—
20027867
AMERIHEALTH MERCY
—
01
—
2229018000
KEYSTONE EAST
—
01
—
3357346
AETNA
—
01
—
50027453
CAPITAL BLUE CROSS
—
Enumeration date
09/12/2007
Last updated
06/27/2024
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