Brazaitis, Daiva
Brazaitis, Daiva is an individual health care provider with primary practice located at 155 Jefferson St , Newark NJ 07105-1706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Brazaitis, Daiva can be contacted via phone (973) 589-1300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07119200 | New York |
Profile Details
| NPI number | 1477555217 |
|---|---|
| LBN Legal business name | Brazaitis, Daiva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477555217 | NPPES |
| New Jersey | MEDICAID | 8322104 |
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