Individual
DR. JEOFFRY BERNARD BRENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DARTMOUTH-HITCHCOCK MEDICAL CENTER, LEBANON, NH 03756-1000
(603) 650-5000
(603) 650-4845
Mailing address
1 MEDICAL CENTER DR, DARTMOUTH-HITCHCOCK MEDICAL CENTER, LEBANON, NH 03756-1000
(603) 650-5000
(603) 650-4845
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
10604
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30200276
—
NH
05
—
ORE5336
—
VT
Enumeration date
07/09/2006
Last updated
08/07/2007
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