Individual
BRANDON ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 FOX RUN DR, PLAINSBORO, NJ 08536-2637
(908) 294-4624
Mailing address
307 FOX RUN DR, PLAINSBORO, NJ 08536-2637
(908) 294-4624
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
147952
NJ
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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