Individual
DR. GAIL B BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
143 BALA AVE, BALA CYNWYD, PA 19004-3317
(610) 747-1100
(610) 747-1118
Mailing address
143 BALA AVE, BALA CYNWYD, PA 19004-3317
(610) 747-1100
(610) 747-1118
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT000123L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0844536000
INDIVIDUAL HMO ID
PA
01
—
2146958000
HMO ID
PA
Enumeration date
08/10/2006
Last updated
07/08/2007
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