Organization
BRENNAN GERIATRIC MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIRISHA BRENNAN M.D. (PRESIDENT)
(804) 426-2977
Entity
Organization
Contact information
Practice address
5717 PARK CRESTE DR, GLEN ALLEN, VA 23059-2604
(804) 426-2977
(855) 392-9700
Mailing address
5717 PARK CRESTE DR, GLEN ALLEN, VA 23059-2604
(804) 426-2977
(855) 392-9700
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101242464
VA
Other
Enumeration date
01/24/2016
Last updated
07/29/2016
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