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1003475955
BRENTON SHAW HALSEY
PHILADELPHIA, PA
NPI
1003475955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD477284)
Enumeration Date
2019-06-12
Last Update Date
2022-05-19
Business Address
Dr. BRENTON SHAW HALSEY MD
3322 N BROAD ST
PHILADELPHIA, PA 19140-5185
Phone number: 215-707-1800
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Mailing Address
Dr. BRENTON SHAW HALSEY MD
3500 N BROAD ST RM 1A
PHILADELPHIA, PA 19140-4106
Phone number: 215-926-9022
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