Provider Demographics
NPI:1700279221
Name:BRIAN SHRAGER MD LLC
Entity Type:Organization
Organization Name:BRIAN SHRAGER MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHRAGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:862-267-0388
Mailing Address - Street 1:45 S PARK PL
Mailing Address - Street 2:#301
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-3924
Mailing Address - Country:US
Mailing Address - Phone:862-267-0388
Mailing Address - Fax:862-267-0387
Practice Address - Street 1:16 POCONO RD
Practice Address - Street 2:SUITE 208
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2901
Practice Address - Country:US
Practice Address - Phone:862-267-0388
Practice Address - Fax:862-267-0387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty