Macy, Brandon A

Macy, Brandon A is an sole proprietor health care provider with primary practice located at 1114 Raritan Rd , Clark NJ 07066-1330. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Macy, Brandon A can be contacted via phone (732) 382-3470.

Contact Information

Primary practice address
1114 Raritan Rd Clark NJ 07066-1330
Phone: (732) 382-3470
Fax: (732) 301-8262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 25MD00126200 New Jersey

Profile Details

NPI number 1720083538
LBN Legal business name Macy, Brandon A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Sep 20th, 2011 - about 13 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 1720083538 NPPES
New Jersey MEDICAID 3057101

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