Individual
DR. EDWARD CHRISTOPHER BRENNAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
875 POPLAR CHURCH RD, CAMP HILL, PA 17011-2203
(717) 724-6450
(717) 724-6451
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS004551L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010495800003
—
PA
01
—
060052170
RAILROAD MEDICARE
—
Enumeration date
05/23/2005
Last updated
08/20/2020
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