| Doctor Name: | DR. RICHARD PAUL BRENNER |
| NPI Number: | 1235138769 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | OS003538L |
| Business Practice Address: | 2175 Knorr St Philadelphia, PA - 191492307 |
| Business Phone Number: | 2156242491 |
| Business Fax Number: | 2156244259 |
| Mailing Address: | 2175 Knorr St, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191492307 |
| Phone Number: | 2153386703 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS003538L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |