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NPI Code Detail

MEDICARE: PENNI BROMMER

MEDICARE: PENNI BROMMER
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
1101YA0400XAddiction (Substance Use Disorder) CounselorDE

General Provider Information

NPI Number : 1740331065
Entity Type Code : Individual
Provider Name (Legal Business Name) : PENNI BROMMER
Provider Business Mailing Address
First Line : 2814 W 2ND ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-1807
Country : US
Telephone Number : 302-427-0381
Fax Number : 302-472-0392
Provider Business Practice Location Address
First Line : 2814 W 2ND ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-1807
Country : US
Telephone Number : 302-427-0381
Fax Number : 302-472-0392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1437209483 — SUSAN J ANDERSON
Practice Location Address:
2814 W 2ND ST
WILMINGTON, DE
19805-1807
Practice Phone: 302-472-0381
Practice Fax: 302-472-0392
1427108489 — MR. REANARD ANTHONY BRITT
Practice Location Address:
2814 W 2ND ST
WILMINGTON, DE
19805-1807
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1457402703 — LYNN M FAHEY
Practice Location Address:
2814 W 2ND ST
WILMINGTON, DE
19805-1807
Practice Phone: 302-472-0381
Practice Fax: 302-472-0392
1992856116 — MARK J MAHAN
Practice Location Address:
2814 W 2ND ST
WILMINGTON, DE
19805-1807
Practice Phone: 302-472-0381
Practice Fax: 302-472-0392
1417008137 — MARK DEWITT LANYON PHD
Practice Location Address:
2814 W 2ND ST
WILMINGTON, DE
19805-1807
Practice Phone: 302-472-0381
Practice Fax: 302-472-0392
1366593113 — JANEEN S MURRAY
Practice Location Address:
2814 W 2ND ST
WILMINGTON, DE
19805-1807
Practice Phone: 302-472-0381
Practice Fax: 302-472-0392

Directions to “ PENNI BROMMER ” Practice Location

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