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Individual

ERIC W DRENNEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3110 GRANT AVE, PHILADELPHIA, PA 19114-2542
(215) 464-6600
Mailing address
3110 GRANT AVE, PHILADELPHIA, PA 19114-2542
(215) 464-6600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057207
PA
363A00000X
Physician Assistant

Other

Enumeration date
05/02/2012
Last updated
03/11/2015
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