Brazinski, Mary Anne

Brazinski, Mary Anne is an individual health care provider with primary practice located at 3453 Valley Rd , Basking Ridge NJ 07920-2655. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Brazinski, Mary Anne can be contacted via phone (908) 604-2277.

Contact Information

Primary practice address
3453 Valley Rd Basking Ridge NJ 07920-2655
Phone: (908) 604-2277
Fax: (908) 604-6219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD01616 New Jersey

Profile Details

NPI number 1306849906
LBN Legal business name Brazinski, Mary Anne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jan 4th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306849906 NPPES
New Jersey MEDICAID 1821202
New Jersey Other 480007595
New Jersey Other T5115
New Jersey Other 1502167001
New Jersey Other 392906
New Jersey Other 4792120001

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