Individual
BRENNA WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 COOPER PLZ, COOPER UNIVERISRY EMERGENCY PHYSICIANS, CAMDEN, NJ 08103-1461
(856) 342-2351
(856) 968-8272
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA08014100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01077790000
AMERICHOICE
NJ
05
—
0109983
—
NJ
01
—
1321749
AETNA
NJ
01
—
2679053
UNITED HEALTHCARE
NJ
01
—
2751473000
AMERIHEALTH/KEYSTON/IBC
NJ
01
—
5618198
CIGNA
NJ
01
—
60025839
HORIZON NJ HEALTH
NJ
01
—
P00376573
RR MEDICARE
NJ
01
—
P3698442
OXFORD
NJ
Enumeration date
07/16/2006
Last updated
07/10/2019
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