Individual
MALLORY BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 405, ALLENTOWN, PA 18103-6224
(610) 402-8420
(610) 402-1689
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056929
PA
Other
Enumeration date
07/08/2014
Last updated
02/19/2018
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