Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 25MA04847300 | NJ |
NPI | 1104883297 |
---|---|
Provider Name | Dr. Brian D Beyerl |
First Address | Morristown, NJ 07960 |
Second Address | Morristown, NJ 07960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 03/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3784207 | (05) | NJ |
B74695 | (02) |