Doctor Name: | KENNETH E BRUMBERGER |
NPI Number: | 1033101522 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C1-0005480 |
Business Practice Address: | 865 W Lancaster Ave Bryn Mawr, PA - 190103336 |
Business Phone Number: | 6105278600 |
Business Fax Number: | 6105271234 |
Mailing Address: | 101 Greenwood Ave, Suite 150 JENKINTOWN |
State: | PA |
Postal Code: | 190462627 |
Phone Number: | 2153798458 |
Fax Number: | 2676201638 |
NPI Enumeration Date: | 08/19/2005 |
NPI Last Update Date: | 10/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | C1-0005480 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |