Organization
HERBERT J BRENNAN DO LTD
Active
Organization
HERBERT J BRENNAN DO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT J BRENNAN DO (PRESIDENT)
(401) 886-6000
Entity
Organization
Contact information
Practice address
2358 S COUNTY TRL, EAST GREENWICH, RI 02818-1500
(401) 886-6000
(401) 886-6002
Mailing address
2358 S COUNTY TRL, EAST GREENWICH, RI 02818-1500
(401) 886-6000
(401) 886-6002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO00445
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000025578
RI BLUE SHIELD
RI
01
—
04-00679
UNITED HEALTH CARE
RI
01
—
401019
BLUE CHIP
RI
05
—
9020286
—
RI
Enumeration date
03/24/2008
Last updated
09/03/2008
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