Individual
JOSHUA CALEB PRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD STE 1-330S, PHILADELPHIA, PA 19104-5132
(215) 662-2737
Mailing address
3400 CIVIC CENTER BLVD STE 1-330S, PHILADELPHIA, PA 19104-5132
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036164390
IL
207N00000X
Dermatology Physician
Primary
MD495434
PA
207R00000X
Internal Medicine Physician
036164390
IL
207R00000X
Internal Medicine Physician
MD495434
PA
Other
Enumeration date
03/21/2020
Last updated
07/08/2026
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