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Organization
BRANDON TUNSTALL LLC
Active
Organization
BRANDON TUNSTALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MIKUS (CEO)
(609) 822-7979
Entity
Organization
Contact information
Practice address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 822-7979
(609) 822-7980
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 822-7979
(609) 822-7980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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