Andrea Brenner in Newark - Physician Assistant
Andrea Brenner - NPI 1497883250
Andrea Brenner is a Physician Assistant in Newark, New Jersey. Andrea Brenner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrea Brenner is 1497883250. The last update date is 2007-07-08.
Andrea Brenner's current location address is 201 Lyons Ave, Newark, New Jersey. You can contact this provider via phone number 9739267779. The mailing address for Andrea Brenner is 201 Lyons Ave, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Andrea Brenner |
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Address | 201 Lyons Ave, Newark, New Jersey |
Phone Number | 9739267779 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1497883250 |
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Provider Enumeration Date | 2007-03-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 201 Lyons Ave |
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City | Newark |
State | New Jersey (NJ) |
Post Code | 71122027 |
Phone Number | 9739267779 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 25MP00040700 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Andrea Brenner by the Centers for Medicare & Medicaid Services?
The Andrea Brenner has been assigned the NPI (National Provider Identifier) 1497883250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Andrea Brenner?
The Andrea Brenner is situated at 201 Lyons Ave, in the city of Newark, state of NJ, with the zip code 71122027.
What is Andrea Brenner's area of expertise and its corresponding taxonomy classification?
The Andrea Brenner's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497883250 to Andrea Brenner?
The Centers for Medicare & Medicaid Services originally issued the 1497883250 to Andrea Brenner on 2007-03-01.
As of what date were the details pertaining to Andrea Brenner last refreshed?
The information related to the Andrea Brenner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1083611107
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