Branden Staller

NPI #1760921043 in Highland Park, New Jersey

Provider Information

NPI Number: 1760921043
Entity Type: Individual
Name: Branden Staller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Feb 19, 2017
Last Updated: Sep 27, 2023

Practice Location

Address: 23 S 1ST AVE
City: Highland Park
State: New Jersey
ZIP Code: 08904-2113
Phone: (732) 874-6063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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