person
Brandon A Macy, DPM
Primary Podiatric Medicine Podiatrist in Clark, New Jersey
NPI 1720083538

Brandon A Macy is a Primary Podiatric Medicine Podiatrist based in Clark, NJ and is specialized in Primary Podiatric Medicine. Brandon A Macy practices in Clark, NJ and has the professional credentials of DPM. The NPI Number for Brandon A Macy is 1720083538 and holds a License No. 25MD00126200 (New Jersey).

The current practice location address for Brandon A Macy is 1114 Raritan Rd, Clark, NJ and can be reached out via phone at 732-382-3470 and via fax at 732-301-8262. You can also correspond with Brandon A Macy through the mailing address at 1114 RARITAN RD, CLARK, NJ - 07066-1330 (mailing address contact number: 732-382-3470).

Location: 1114 Raritan Rd, Clark, NJ, 07066-1330
person
Provider Profile Details
NPI Number
1720083538
Provider Name
Brandon A Macy
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1114 Raritan Rd, Clark, NJ, 07066-1330
Phone Number
732-382-3470
Fax Number
732-301-8262
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3057101 05 NJ
institution
Provider Business Practice Location Address Details
Address
1114 Raritan Rd
City
State
Zip
07066-1330
Phone Number
732-382-3470
Fax Number
732-301-8262
person
Provider Business Mailing Address Details
Address
1114 Raritan Rd
City
State
Zip
07066-1330
Phone Number
732-382-3470
Fax Number
732-301-8262
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
25MD00126200 (New Jersey)
Definition
Definition to come...
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