Individual
DR. LIANA M SPANO-BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8700
(908) 673-7108
Mailing address
1820 STATE ROUTE 33, SUITE 4B, NEPTUNE, NJ 07753-4860
(732) 776-8500
(732) 776-8946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB08315300
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MB08315300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167568
—
NJ
01
—
3543747000
AMERIHEALTH
NJ
Enumeration date
01/18/2008
Last updated
03/26/2019
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