Brennan, John Andrew

Brennan, John Andrew is an individual health care provider with primary practice located at 95 Old Short Hills Rd , West Orange NJ 07052-1008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Brennan, John Andrew can be contacted via phone (973) 322-4161.

Contact Information

Primary practice address
95 Old Short Hills Rd West Orange NJ 07052-1008
Fax: (973) 322-4074
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 25MA05843200 New Jersey

Profile Details

NPI number 1508900069
LBN Legal business name Brennan, John Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508900069 NPPES
New Jersey MEDICAID 5398401

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