Brandi, Kristyn M

Brandi, Kristyn M is an sole proprietor health care provider with primary practice located at 140 Bergen St , Newark NJ 07103-2425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brandi, Kristyn M can be contacted via phone (973) 972-2700.

Contact Information

Primary practice address
140 Bergen St Newark NJ 07103-2425
Phone: (973) 972-2700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 261802 Massachusetts
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA10306500 New Jersey

Profile Details

NPI number 1356630107
LBN Legal business name Brandi, Kristyn M
Credentials MD MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2011
Last updated Jan 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356630107 NPPES
New Jersey MEDICAID 0647063

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