Individual
DR. DAIVA BRAZAITIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 JEFFERSON ST, NEWARK, NJ 07105-1706
(973) 589-1300
Mailing address
66 W GILBERT ST, SUITE 100, TINTON FALLS, NJ 07701-4918
(721) 212-0060
(732) 212-0061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07119200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8322104
—
NJ
Enumeration date
08/11/2005
Last updated
07/08/2007
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