Organization
PENNSYLVANIA CENTRE FOR PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ALAN BRENMAN M.D. (PLASTIC SURGEON)
(215) 829-7290
Entity
Organization
Contact information
Practice address
800 SPRUCE ST, 10TH FLOOR, SPRUCE BUILDING, PHILADELPHIA, PA 19107-6130
(215) 829-7290
(215) 829-5430
Mailing address
800 SPRUCE ST, 10TH FLOOR, SPRUCE BUILDING, PHILADELPHIA, PA 19107-6130
(215) 829-7290
(215) 829-5430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD028290E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181250000
IBC
PA
01
—
0413987
HIGHMARK BLUE SHIELD
PA
01
—
0608329
AETNA
PA
Enumeration date
06/21/2007
Last updated
05/09/2008
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