Individual
BRANDON WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 BERGEN ST FL 6, NEWARK, NJ 07103-2425
(630) 915-4328
Mailing address
90 BERGEN ST FL 6, NEWARK, NJ 07103-2499
(630) 915-4328
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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