Organization
DR. SIDNEY BRENNER ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PAUL BRENNER DO (PARTNER)
(215) 624-2491
Entity
Organization
Contact information
Practice address
2175 KNORR ST, PHILADELPHIA, PA 19149-2307
(215) 624-2491
(215) 624-4259
Mailing address
2175 KNORR ST, PHILADELPHIA, PA 19149-2307
(215) 624-2491
(215) 624-4259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000083477
PA. BLUE SHIELD
PA
01
—
0058420001
INDEPENDENCE BLUE CROSS
PA
01
—
0268562004
CIGNA HEALTHCARE
PA
Enumeration date
07/19/2005
Last updated
07/21/2022
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