| Alicia Ann Brennan, MD | |
|
1 Plainsboro Rd, Chop Care Network At Princeton Medical Center, Plainsboro, NJ 08536-1913 | |
| (609) 853-7000 | |
| (609) 497-4173 |
| Full Name | Alicia Ann Brennan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1 Plainsboro Rd, Plainsboro, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306853783 | NPI | - | NPPES |
| 001634884 | Medicaid | PA | |
| 7269404 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25MA08593800 (New Jersey) | Primary |
| 208000000X | Pediatrics | MD059050L (Pennsylvania) | Secondary |
| Entity Name | Children's Health Care Associates Of New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427152917 PECOS PAC ID: 1052219110 Enrollment ID: O20031229000053 |
| Entity Name | Princeton Healthcare Affiliated Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518194323 PECOS PAC ID: 2567598022 Enrollment ID: O20100413000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Ann Brennan, MD 100 E Penn Sq, 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9234 | Alicia Ann Brennan, MD 1 Plainsboro Rd, Chop Care Network At Princeton Medical Center, Plainsboro, NJ 08536-1913 Ph: (609) 853-7000 |
Dr. Richard Rothchild, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Plainsboro Rd, Chop Care Network At Princeton Medical Center, Plainsboro, NJ 08536 Phone: 215-829-3191 Fax: 215-829-7123 | |
Dr. Koel Guha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Plainsboro Rd, Chop Care Network At Princeton Medical Center, Plainsboro, NJ 08536 Phone: 609-853-7000 Fax: 609-497-4137 | |
Emma Jane Bradbury Robson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Plainsboro Rd, Plainsboro, NJ 08536 Phone: 206-987-2525 | |
Dr. Rafia Qandeel Baloch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Plainsboro Rd, Plainsboro, NJ 08536 Phone: 609-853-6500 | |
Dr. Niranjana Rajan-mohandas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 666 Plainsboro Rd, Suite 2000e, Plainsboro, NJ 08536 Phone: 609-799-0068 Fax: 609-799-5534 | |
Anupa Dalal, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Plainsboro Rd, Plainsboro, NJ 08536 Phone: 609-853-7626 |