Provider Demographics
NPI:1134166903
Name:BRENNAN, CATHERI J (CATHERINE J BRENNAN)
Entity type:Individual
Prefix:DR
First Name:CATHERI
Middle Name:J
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:CATHERINE J BRENNAN
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:J
Other - Last Name:BRENNAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CATHERINE J BRENNAN
Mailing Address - Street 1:820 E BEAU ST
Mailing Address - Street 2:#3M
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-2908
Mailing Address - Country:US
Mailing Address - Phone:724-250-7790
Mailing Address - Fax:
Practice Address - Street 1:100 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3449
Practice Address - Country:US
Practice Address - Phone:724-250-7790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419895207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine