Edward Joseph Brennan Jr., MD
Individual provider Active NPI Surgery Physician · Newtown Square, PA
NPI 1396237707 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1396237707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD044608L (PA)
- Practice address
- 682 Malin Rd
Newtown Square, PA 19073-2613 - Phone
- (484) 680-1844
- NPI assigned
- May 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044608L | PA | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD044608L | PA | Yes |
Addresses
Primary practice location
682 Malin Rd
Newtown Square, PA 19073-2613
Mailing address
682 Malin Rd
Newtown Square, PA 19073-2613
Phone (610) 355-0316
Other providers in Newtown Square, PA
- Megan Bragg
- Sue Ann Brancato
- Shanda Brashears
- Mary Lou D. Bremser
- Deborah Brennan
- Cora McKenna Bridgers
- Brighter Therapy LLC
- Jonathan Brittian
- Karen Ann Brogan
- Richard Thomas Bruce
All providers in Newtown Square, PA · Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.