Provider Demographics
NPI:1184850992
Name:PILLEMER, BRENDAN BRIAN LOUIS (MD, PHD)
Entity type:Individual
Prefix:
First Name:BRENDAN
Middle Name:BRIAN LOUIS
Last Name:PILLEMER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3340 ROBINWOOD RD STE 100-534
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-6689
Mailing Address - Country:US
Mailing Address - Phone:118-485-0992
Mailing Address - Fax:
Practice Address - Street 1:19735 GERMANTOWN RD
Practice Address - Street 2:SUITE 210
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1214
Practice Address - Country:US
Practice Address - Phone:301-444-0153
Practice Address - Fax:301-444-0158
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2023-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0078287207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology