Individual
SAMANTHA K. BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-5667
Mailing address
131 HIGHLAND AVE, MONTCLAIR, NJ 07042-1913
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA0970700
NJ
Other
Enumeration date
04/09/2009
Last updated
12/05/2016
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