Individual
BRENDAN HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
1210 US-130, CINNAMINSON, NJ 08077
(856) 829-0407
Mailing address
54 QUEEN LILY RD, LEVITTOWN, PA 19057-1914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00494200
NJ
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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