Individual
DR. RICHARD STEPHEN BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
469 LAWRENCE RD, BROOMALL, PA 19008-3747
(610) 353-2121
(610) 353-4936
Mailing address
469 LAWRENCE RD, BROOMALL, PA 19008-3747
(610) 353-2121
(610) 353-4936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001748
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000545780
—
PA
Enumeration date
03/06/2007
Last updated
02/26/2015
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