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Organization

STALLER FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDEN STALLER MD (DOCTOR)
(732) 874-6063
Entity
Organization

Contact information

Practice address
23 S 1ST AVE, HIGHLAND PARK, NJ 08904-2113
(732) 874-6063
Mailing address
23 S 1ST AVE, HIGHLAND PARK, NJ 08904-2113
(732) 874-6063

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/16/2022
Last updated
06/22/2023
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