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Individual

DR. MARY ANNE BRAZINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3453 VALLEY RD, BASKING RIDGE, NJ 07920-2655
(908) 604-2277
(908) 604-6219
Mailing address
3453 VALLEY RD, BASKING RIDGE, NJ 07920-2655
(908) 647-8429
(908) 604-6219

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01616
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1502167001
CIGMA
NJ
05
1821202
NJ
01
392906
UNITED HEALTH
NJ
01
4792120001
MEDICARE DME
NJ
01
480007595
RAILROAD MEDICARE
NJ
01
T5115
OXFORD
NJ
Enumeration date
05/27/2005
Last updated
01/04/2010
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