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NPI Code Detail

MEDICARE: BRENDAN BRIAN LOUIS PILLEMER M.D., PH.D.

MEDICARE: BRENDAN BRIAN LOUIS PILLEMER M.D., PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology PhysicianD0078287MD

General Provider Information

NPI Number : 1184850992
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDAN BRIAN LOUIS PILLEMER M.D., PH.D.
Provider Business Mailing Address
First Line : 3340 ROBINWOOD RD STE 100-534
Second Line :
City : GASTONIA
State : NC
Zip : 28054-6689
Country : US
Telephone Number : 118-485-0992
Fax Number :
Provider Business Practice Location Address
First Line : 19735 GERMANTOWN RD
Second Line : SUITE 210
City : GERMANTOWN
State : MD
Zip : 20874-1214
Country : US
Telephone Number : 301-444-0153
Fax Number : 301-444-0158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2009
Last Update Date : 06/17/2023

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Directions to “ BRENDAN BRIAN LOUIS PILLEMER M.D., PH.D.” Practice Location

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