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Individual

SCOTT A BRENMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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 STREET, 10TH FLOOR-SPRUCE BUILDING, PHILADELPHIA, PA 19107-6130
(215) 829-7290
(215) 829-5430

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD028290E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0030864000
IBC
PA
01
0094685
AETNA
PA
01
0486098
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/08/2007
Last updated
01/12/2011
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