Organization
MARY ANNE BRAZINSKI DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANNE BRAZINSKI DPM (DOCTOR)
(908) 604-2277
Entity
Organization
Contact information
Practice address
3453 VALLEY RD, BASKING RIDGE, NJ 07920-2655
(908) 604-2277
(908) 604-6219
Mailing address
3453 VALLEY RD, BASKING RIDGE, NJ 07920-2655
(908) 604-2277
(908) 604-6219
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
MD0616
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD01616
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1502167001
CIGNA
NJ
05
—
1821202
—
NJ
01
—
392906
UNITED HEALTHCARE
NJ
01
—
TS115
OXFORD
NJ
Enumeration date
12/19/2007
Last updated
06/25/2008
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