DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK BRENNAN, DO

Active

MARK BRENNAN, DO is a Vascular Surgery healthcare provider located in JOHNSON CITY, New York. NPI 1174523443 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · JOHNSON CITY, NY

Registration Details

NPI Number
1174523443
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2005 (21.056919191146 yrs)
Last Updated
Sep 15, 2014
Licenses
217717 (NY)
217717 (NY)

Practice Information

Address
30 HARRISON ST
STE 455
JOHNSON CITY, NY, 137902161
Browse NY providers · Browse ZIP 13790
Phone
6077638100
Fax
6077638048
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
Vascular Surgery

Other Vascular Surgery Providers in JOHNSON CITY, NY

Name Credential NPI
LEONARD ANDERSON MD 1760482863
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.