Individual
ALICIA ANN BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 PLAINSBORO RD, CHOP CARE NETWORK AT PRINCETON MEDICAL CENTER, PLAINSBORO, NJ 08536-1913
(609) 853-7000
(609) 497-4173
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08593800
NJ
208000000X
Pediatrics Physician
MD059050L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001634884
—
PA
05
—
7269404
—
NJ
Enumeration date
08/01/2006
Last updated
04/11/2019
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