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Individual

JONATHAN L. BRISMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7010
(732) 632-1584
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7010
(732) 632-1584

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
225989-1
NY
207T00000X
Neurological Surgery Physician
Primary
25MA07899300
NJ
207T00000X
Neurological Surgery Physician
MD0004425
WA

Other

Enumeration date
07/28/2005
Last updated
07/08/2007
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