Provider Demographics
NPI:1255444725
Name:ERDOS, BRANDON ZAKARY (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:ZAKARY
Last Name:ERDOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:285 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-1437
Mailing Address - Country:US
Mailing Address - Phone:617-947-9594
Mailing Address - Fax:844-483-7891
Practice Address - Street 1:1330 BEACON ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3282
Practice Address - Country:US
Practice Address - Phone:617-947-9594
Practice Address - Fax:844-483-7891
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2159132084P0015X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAI45928Medicare ID - Type Unspecified