Diflorio Brennan, Therese M

Diflorio Brennan, Therese M is an individual health care provider with primary practice located at 517 E Lancaster Ave , Shillington PA 19607-1364. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Diflorio Brennan, Therese M can be contacted via phone (610) 777-7646.

Contact Information

Primary practice address
517 E Lancaster Ave Shillington PA 19607-1364
Fax: (610) 777-7570
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS-029126-L Pennsylvania

Profile Details

NPI number 1588763486
LBN Legal business name Diflorio Brennan, Therese M
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 12th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588763486 NPPES
Pennsylvania MEDICAID 0018523460002
Pennsylvania Other DI1315366
Pennsylvania Other 153909
Pennsylvania Other 9929126
Pennsylvania MEDICAID 0018523460001
Pennsylvania Other 02261401

Popular Providers