Individual
DR. KEITH BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 PROSPECT AVE STE 707, HACKENSACK, NJ 07601-1963
(551) 996-2211
Mailing address
20 PROSPECT AVE STE 707, HACKENSACK, NJ 07601-1963
(551) 996-2211
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
242319
NY
207RP1001X
Pulmonary Disease Physician
Primary
25MA09379400
NJ
Other
Enumeration date
08/10/2007
Last updated
09/02/2022
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