Provider Demographics
NPI:1184884140
Name:BRANDT, JUSTIN SAMUEL (MD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:SAMUEL
Last Name:BRANDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:125 PATERSON ST
Mailing Address - Street 2:#4200
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1962
Mailing Address - Country:US
Mailing Address - Phone:732-235-8166
Mailing Address - Fax:732-235-6564
Practice Address - Street 1:125 PATERSON ST
Practice Address - Street 2:#4200
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1962
Practice Address - Country:US
Practice Address - Phone:732-235-8166
Practice Address - Fax:732-235-6564
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2016-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09660400207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine