Individual
DR. HARRIS BRANDON TESHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 GRAND AVENUE, SUITE 102, ENGLEWOOD, NJ 07631-4363
(201) 871-3636
(201) 871-2286
Mailing address
200 GRAND AVENUE, SUITE 102, ENGLEWOOD, NJ 07631-4363
(201) 871-3636
(201) 871-2286
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA09278800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349178
—
NJ
Enumeration date
06/08/2008
Last updated
08/06/2013
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