Individual
KEITH BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 W 25TH ST, BAYONNE, NJ 07002-3800
(201) 243-9291
Mailing address
82 E 29TH ST, BAYONNE, NJ 07002-4914
(201) 424-6352
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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