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Contact Information

GARY J BRENNER, MD PHD
55 FRUIT ST
CLN 3
BOSTON, MA02114-2621
 Phone: 617-726-8810
 Fax: 617-724-3632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for GARY J BRENNER · (Male)

NPI # 1447240627
Status Active
Credentials MD PHD
Entity Individual
Enumeration date 10/27/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 160622
  • MA Medicaid 0121681
  • MA Other J22624 BCBS MA
  • MA Other I60622 TUFTS HEALTH PLAN
Hospital affiliation(s)
  • BRIGHAM AND WOMEN'S HOSPITAL - (Acute Care)
    75 FRANCIS STREET
    BOSTON, MA 02115
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
  • NANTUCKET COTTAGE HOSPITAL - (Acute Care)
    57 PROSPECT STREET
    NANTUCKET, MA 02554
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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