Organization
BRANDON MACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON MACY DPM (OWNER)
(732) 382-3470
Entity
Organization
Contact information
Practice address
1114 RARITAN RD, CLARK, NJ 07066-1330
(732) 382-3470
Mailing address
1114 RARITAN RD, CLARK, NJ 07066-1330
(732) 382-3470
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25MD00126200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057101
—
NJ
Enumeration date
01/11/2008
Last updated
06/12/2008
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