Individual
BRENDON MATTHEW STILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, M404, NEW YORK, NY 10065-4870
(212) 746-5150
(212) 746-8426
Mailing address
525 EAST 68TH STREET, M404, NEW YORK, NY 10065-4885
(212) 746-5150
(212) 746-8426
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
240757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167592
—
NJ
Enumeration date
06/03/2008
Last updated
12/09/2011
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