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Individual

DR. IRA BRENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 PRESIDENTIAL BLVD, SUITE 116, BALA CYNWYD, PA 19004-1107
(610) 667-3183
(610) 667-4401
Mailing address
10 PRESIDENTIAL BLVD, SUITE 116, BALA CYNWYD, PA 19004-1107
(610) 667-3183
(610) 667-4401

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD022052E
PA

Other

Enumeration date
01/26/2009
Last updated
01/26/2009
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