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Individual

BRENDAN PATRICK TEEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.04

Contact information

Practice address
377 WYLDHAVEN RD, BRYN MAWR, PA 19010-1241
(610) 527-0216
(610) 527-0216
Mailing address
377 WYLDHAVEN RD, BRYN MAWR, PA 19010-1241
(610) 527-0216
(610) 527-0216

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
MD:1743E
PA

Other

Enumeration date
02/24/2012
Last updated
02/24/2012
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