Organization
BRANDON HOWARD MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON HOWARD MD (PHYSICIAN/ OWNER)
(201) 336-0095
Entity
Organization
Contact information
Practice address
20 PROSPECT AVE, SUITE 905, HACKENSACK, NJ 07601-1997
(201) 336-0095
(201) 820-0817
Mailing address
415 MYRTLE AVE, FORT LEE, NJ 07024-3912
(201) 336-0095
(201) 820-0817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08457400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821467085
NPI
NJ
Enumeration date
08/15/2016
Last updated
08/15/2016
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