Staller, Branden
Staller, Branden is an individual health care provider with primary practice located at 23 S 1St Ave , Highland Park NJ 08904-2113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Staller, Branden can be contacted via phone (732) 874-6063.Contact Information
Primary practice address
23 S 1St Ave
Highland Park NJ 08904-2113
Phone: (732) 874-6063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | P05157 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA10916500 | New Jersey |
Profile Details
| NPI number | 1760921043 |
|---|---|
| LBN Legal business name | Staller, Branden |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2017 |
| Last updated | Sep 27th, 2023 - about 2 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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