Provider Demographics
NPI:1275297111
Name:BRYSON HEALTH SPECIALTIES LLC
Entity Type:Organization
Organization Name:BRYSON HEALTH SPECIALTIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-887-1323
Mailing Address - Street 1:393 MULBERRY ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-3417
Mailing Address - Country:US
Mailing Address - Phone:732-546-1383
Mailing Address - Fax:732-837-4514
Practice Address - Street 1:393 MULBERRY ST FL 2
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3417
Practice Address - Country:US
Practice Address - Phone:732-546-1383
Practice Address - Fax:732-837-4514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty