Individual
DR. MARK ANTHONY BRABSTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
C 1 CORNWALL COURT, EAST BRUNSWICK, NJ 08816-3331
(732) 238-0662
Mailing address
3 GALICIA WAY, MONROE TOWNSHIP, NJ 08831-3519
(732) 521-1368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D101141600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2222GIANTS
DELTA DENTAL PLAN OF NJ
NJ
Enumeration date
10/14/2006
Last updated
07/08/2007
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