Provider Demographics
NPI:1184313678
Name:WRIGHT, BRANDEN J (MD)
Entity type:Individual
Prefix:
First Name:BRANDEN
Middle Name:J
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 CEDARVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CEDARVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08311-2134
Mailing Address - Country:US
Mailing Address - Phone:609-774-0141
Mailing Address - Fax:
Practice Address - Street 1:3403 CEDARVILLE RD
Practice Address - Street 2:
Practice Address - City:CEDARVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08311-2134
Practice Address - Country:US
Practice Address - Phone:609-774-0141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program