Individual
MARYANNE FREEMAN BRNDJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4 W MAIN ST, MACUNGIE, PA 18062-1120
(610) 965-6200
(610) 965-6211
Mailing address
4 W MAIN ST, MACUNGIE, PA 18062-1120
(610) 965-6200
(610) 965-6211
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS008332L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016012750003
—
PA
01
—
0135273000
KEYSTONE EAST
PA
01
—
043696299
VALLEY PREFERRED
PA
01
—
043969299
EPHN
PA
01
—
1537175
HIGHMARK BLUE SHIELD
PA
01
—
20009508
AMERIHEALTH MERCY
PA
01
—
3357346
AETNA
PA
01
—
50027457
KEYSTONE HEALTH CENTRAL
PA
Enumeration date
05/22/2006
Last updated
05/07/2024
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