Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 217432 | MA |
NPI | 1467487512 |
---|---|
Provider Name | Dr. Dennis J Brenner |
First Address | West Orange, NJ 07052-2724 |
Second Address | West Orange, NJ 07052-2724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 03/02/2014 |