Basic Information
Provider Information
NPI: 1811309248
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BREHM
FirstName: ROBIN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 191
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198990191
CountryCode: US
TelephoneNumber: 3026514200
FaxNumber: 3026514945
Practice Location
Address1: 130 S BRYN MAWR AVE
Address2:  
City: BRYN MAWR
State: PA
PostalCode: 190103121
CountryCode: US
TelephoneNumber: 6105263000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/20/2014
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X25MA10173300NJN Allopathic & Osteopathic PhysiciansPediatrics 
208M00000XC10012154DEN Allopathic & Osteopathic PhysiciansHospitalist 
208000000XMD461044PAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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