Individual
BRANDON MAYORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2625 MORRIS AVE, UNION, NJ 07083-5606
(908) 686-8040
Mailing address
41- 43 NEWARK STREET, APT 3, NEWARK, NJ 07103
(862) 262-4879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02205200
NJ
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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