Healthcare Provider Details

I. General information

NPI: 1326139593
Provider Name (Legal Business Name): UNA BREWER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1766 WILMINGTON PIKE
GLEN MILLS PA
19342
US

IV. Provider business mailing address

301 LINDENWOOD DRIVE SUITE 350
MALVERN PA
19355
US

V. Phone/Fax

Practice location:
  • Phone: 610-358-2778
  • Fax: 610-358-3508
Mailing address:
  • Phone: 215-590-2897
  • Fax: 215-590-0325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD 050424
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: