Provider Demographics
NPI:1376676528
Name:MACHLER, BRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:MACHLER
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 1:128 COLUMBIA TPKE
Mailing Address - Street 2:SUIRE 200
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2283
Mailing Address - Country:US
Mailing Address - Phone:973-736-9535
Mailing Address - Fax:973-736-2607
Practice Address - Street 1:128 COLUMBIA TPKE
Practice Address - Street 2:SUIRE 200
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2283
Practice Address - Country:US
Practice Address - Phone:973-736-9535
Practice Address - Fax:973-736-2607
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06197500207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ527145Medicare UPIN
NJ527145Medicare ID - Type Unspecified
NJGO4865Medicare UPIN