| Branden Staller, | |
|
23 S 1st Ave, Highland Park, NJ 08904-2113 | |
| (732) 874-6063 | |
| Not Available |
| Full Name | Branden Staller |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 23 S 1st Ave, Highland Park, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760921043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P05157 (New York) | Secondary |
| 207Q00000X | Family Medicine | 25MA10916500 (New Jersey) | Primary |
| Entity Name | Staller Family Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700529815 PECOS PAC ID: 6002288362 Enrollment ID: O20230214002390 |
| Mailing Address | Practice Location Address |
|---|---|
| Branden Staller, 23 S 1st Ave, Highland Park, NJ 08904-2113 Ph: (732) 874-6063 | Branden Staller, 23 S 1st Ave, Highland Park, NJ 08904-2113 Ph: (732) 874-6063 |
Dr. Bismah Najeeb, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 505 Raritan Ave, Highland Park, NJ 08904 Phone: 732-393-1331 | |
Dr. Arthur H Miller, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 505 Raritan Ave, Highland Park, NJ 08904 Phone: 732-393-1331 Fax: 732-463-6067 | |
Paul Curtis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 North 8th Avenue, Highland Park, NJ 08904 Phone: 732-985-4934 Fax: 732-985-4934 | |
Dr. Alexandru Bancila, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 S Adelaide Ave, Highland Park, NJ 08904 Phone: 732-545-8677 | |
Frederic G Glatter, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 27 South Fifth Avenue, Highland Park, NJ 08904 Phone: 732-819-9696 | |
Dr. Joseph Theodore Cohn, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 23 S 1st Ave, Highland Park, NJ 08904 Phone: 732-545-3434 |