Doctor Name: | JEFFREY M. BRANDLER |
NPI Number: | 1205826740 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EDS |
License Number: | |
Business Practice Address: | 420 Boulevard Suite 208 Mountain Lakes, NJ - 070461742 |
Business Phone Number: | 9734022647 |
Business Fax Number: | 9734028033 |
Mailing Address: | 420 Boulevard, Suite 208 MOUNTAIN LAKES |
State: | NJ |
Postal Code: | 070461742 |
Phone Number: | 9734022647 |
Fax Number: | 9734028033 |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |