Individual provider · NPI-1

Jillian Leigh Brennan, M.D.

Hospitalist · Burlington, VT

NPI number1942520796
StatusActive
Last updated in NPPESApr 16, 2015

Details

NPI
1942520796
Entity type
Individual (NPI-1)
Name
Jillian Leigh Brennan
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 3, 2010
Last updated
Apr 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist042.0012666VTYes
207Q00000X Family Medicine0420012666VT

Practice location

617 Riverside Ave
Burlington, VT 05401-1601

Phone 802-264-8158 · Fax 802-860-4313

Mailing address

617 Riverside Ave
Burlington, VT 05401-1601

Phone 802-264-8158 · Fax 802-860-4313

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