Individual
DR. BRENDAN MICHAEL MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1930 MARLTON PIKE E, SUITE E27, CHERRY HILL, NJ 08003-2150
(856) 424-6677
(856) 489-1803
Mailing address
1930 MARLTON PIKE E, SUITE E27, CHERRY HILL, NJ 08003-2150
(856) 424-6677
(856) 489-1803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA01105600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2268236000
AMERIHEALTH ID
NJ
Enumeration date
12/04/2006
Last updated
07/08/2007
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