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Brandon Weller, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1013657568

Brandon Weller is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Brandon Weller practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Brandon Weller is 1013657568 and holds a License No. (New Jersey).

The current practice location address for Brandon Weller is 90 Bergen St Fl 6, Newark, NJ and can be reached out via phone at 630-915-4328.

Location: 90 Bergen St Fl 6, Newark, NJ, 07103-2499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013657568
Provider Name
Brandon Weller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
90 Bergen St Fl 6, Newark, NJ, 07103-2499
Phone Number
630-915-4328
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
90 Bergen St Fl 6
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
630-915-4328
Fax Number
person
Provider Business Mailing Address Details
Address
90 Bergen St Fl 6
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
630-915-4328
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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