Organization
BRANFORD PSYCHIATRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD SHALTS MD (MD)
(973) 424-0080
Entity
Organization
Contact information
Practice address
23 BRANFORD PL, NEWARK, NJ 07102-2711
(973) 424-0080
(973) 424-0088
Mailing address
23 BRANFORD PL, NEWARK, NJ 07102-2711
(973) 424-0080
(973) 424-0088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA07430700
NJ
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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