Individual
BRIAN JEFFREY SENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 S 33RD ST, WEIGHTMAN HALL, 1ST FLOOR, PHILADELPHIA, PA 19104-6322
(215) 615-4400
(215) 615-4405
Mailing address
235 S 33RD ST, WEIGHTMAN HALL, 1ST FLOOR, PHILADELPHIA, PA 19104-6322
(215) 615-4400
(215) 615-4405
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
MD045507L
PA
207X00000X
Orthopaedic Surgery Physician
25MA06166400
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
MD045507L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001492125
—
PA
Enumeration date
06/30/2006
Last updated
04/09/2013
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