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Individual

BRANDI J RAPPAPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
45 HOMESTEAD DR, SUITE B, COLUMBUS, NJ 08022-1004
(609) 324-0993
(609) 324-0995
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
(856) 796-9200
(856) 310-5603

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07886600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0085898
NJ
Enumeration date
03/22/2006
Last updated
07/08/2007
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