Individual
DR. STEPHEN R BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
109 WOODBRIDGE RD, YORK, ME 03909-1450
(207) 363-5437
(207) 351-1722
Mailing address
109 WOODBRIDGE ROAD, YORK, ME 03909
(207) 363-5437
(207) 351-1722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1333
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00007M
ANTHEM BLUE CROSS MAINE
ME
01
—
027530
ANTHEM BX MAINE
ME
01
—
040854YPME 01
MATTHEW THORNTON BLUE NH
NH
01
—
121460C
CIGNA HC NH
NH
01
—
2375017
AETNA
TX
05
—
30220763
—
NH
01
—
9022900
CIGNA NATIONAL
PA
01
—
CIGNA
M52711C
ME
01
—
E39853
ANTHEM BX NH
NH
01
—
ME0081
HARVARD PILGRIM HC
MA
Enumeration date
07/31/2006
Last updated
07/09/2007
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