Organization
TIMOTHY BRANNAN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BRANNAN M.D. (OWNER)
(201) 309-2380
Entity
Organization
Contact information
Practice address
377 JERSEY AVE, SUITE 220, JERSEY CITY, NJ 07302-4393
(201) 309-2380
(201) 309-2381
Mailing address
PO BOX 808, TEANECK, NJ 07666-0808
(201) 309-2380
(201) 309-2381
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA06506400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7262906
—
NJ
Enumeration date
03/30/2011
Last updated
03/30/2011
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