Individual
STUART BARRY PRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2ND FL, PHILADELPHIA, PA 19104
(215) 615-4949
Mailing address
3400 CIVIC CENTER BLVD, 2ND FL, PHILADELPHIA, PA 19104-5127
(215) 615-4949
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD449392
PA
207RC0000X
Cardiovascular Disease Physician
MD449392
PA
Other
Enumeration date
05/06/2011
Last updated
11/12/2019
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