Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON A MACY, DPM
Active Sole ProprietorBRANDON A MACY, DPM is a Radiology Podiatrist healthcare provider located in CLARK, New Jersey. NPI 1720083538 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · CLARK, NJ
Registration Details
- NPI Number
- 1720083538
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2005 (21.186796962613 yrs)
- Last Updated
- Sep 20, 2011
- License
-
25MD00126200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1114 RARITAN RDCLARK, NJ, 070661330Browse NJ providers · Browse ZIP 07066
- Phone
- 7323823470
- Fax
- 7323018262
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.