Brazinski, Mary Anne
Brazinski, Mary Anne is an individual health care provider with primary practice located at 3453 Valley Rd , Basking Ridge NJ 07920-2655. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Brazinski, Mary Anne can be contacted via phone (908) 604-2277.Contact Information
Primary practice address
3453 Valley Rd
Basking Ridge NJ 07920-2655
Phone: (908) 604-2277
Fax: (908) 604-6219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | MD01616 | New Jersey |
Profile Details
| NPI number | 1306849906 |
|---|---|
| LBN Legal business name | Brazinski, Mary Anne |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jan 4th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306849906 | NPPES |
| New Jersey | MEDICAID | 1821202 | |
| New Jersey | Other | 480007595 | |
| New Jersey | Other | T5115 | |
| New Jersey | Other | 1502167001 | |
| New Jersey | Other | 392906 | |
| New Jersey | Other | 4792120001 |
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