Brennan, Mark D

Brennan, Mark D is an individual health care provider with primary practice located at 1600 Haddon Ave , Camden NJ 08103-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Brennan, Mark D can be contacted via phone (856) 757-3836.

Contact Information

Primary practice address
1600 Haddon Ave Camden NJ 08103-3101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MA064049 New Jersey

Profile Details

NPI number 1326081357
LBN Legal business name Brennan, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1326081357 NPPES
New Jersey Other 0009928 AETNA
New Jersey Other 0559797000 AETNA
New Jersey Other 1063470 AETNA
New Jersey MEDICAID 6159401 AETNA

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