Individual
DR. JOHN ANDREW BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-4161
(973) 322-4074
Mailing address
3 CASTLE CT, RANDOLPH, NJ 07869-2022
(973) 328-3780
(973) 328-5807
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
25MA05843200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5398401
—
NJ
Enumeration date
02/17/2007
Last updated
07/08/2007
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