Individual
LAURA N BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, COX 201, BOSTON, MA 02114-2621
(617) 726-1721
Mailing address
55 FRUIT ST, BUL-148, BOSTON, MA 02114-2621
(617) 726-1721
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
254295
MA
207RP1001X
Pulmonary Disease Physician
Primary
254295
MA
Other
Enumeration date
06/08/2010
Last updated
04/27/2016
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