Individual
DR. JACOB SAMUEL BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 1, PHILADELPHIA, PA 19104-5161
(215) 662-3202
(215) 349-8432
Mailing address
3400 CIVIC CENTER BLVD FL 1, PHILADELPHIA, PA 19104-5161
(215) 662-3202
(215) 349-8432
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD449413
PA
207RP1001X
Pulmonary Disease Physician
MD449413
PA
Other
Enumeration date
07/24/2010
Last updated
08/22/2019
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