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Individual

MARK D BRENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3836
Mailing address
PO BOX 8505, CHERRY HILL, NJ 08002-0505
(856) 755-1616
(856) 755-0098

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MA064049
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009928
AETNA
NJ
01
050046397
RAILROAD MEDICARE
NJ
01
0559797000
AMERIHEALTH
NJ
01
1063470
HORIZON NJ HEALTH
NJ
01
222041639
TAX ID
NJ
05
6159401
NJ
Enumeration date
06/14/2006
Last updated
01/06/2025
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