Individual
STEPHEN BRENNER
Active
Individual
STEPHEN BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17408
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017408CT03
BLUE CROSS BLUE SHIELD
CT
01
—
1051333
AETNA
CT
01
—
757491
CONNECTICARE
CT
01
—
NHP118
OXFORD
CT
Enumeration date
07/20/2005
Last updated
01/24/2013
Update your record
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