Bryan Anderson

Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Fairfield, NJ

NPI 1184197147 · NPPES record last updated Jan 2, 2019

Key facts

NPI
1184197147
Entity type
Individual (NPI type 1)
Primary specialty
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
Practice address
700 US Highway 46 Ste 420
Fairfield, NJ 07004-1532
Phone
(973) 882-3456
Fax
(973) 882-3450
NPI assigned
Jan 2, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Yes

Addresses

Primary practice location

700 US Highway 46 Ste 420
Fairfield, NJ 07004-1532

Mailing address

700 US Highway 46 Ste 420
Fairfield, NJ 07004-1532
Phone (973) 882-3456

Other providers in Fairfield, NJ

All providers in Fairfield, NJ · Electroneurodiagnostic Specialist/Technologist in New Jersey

Sources for this page

Verify at the official NPI Registry.