Brandon Daigle, DO
Family Medicine in Princeton, NJ. Individual provider (NPI-1).
NPI number1104485416
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1104485416
- Entity type
- Individual (NPI-1)
- Name
- Brandon Daigle
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2019
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB11502800 | NJ | Yes |
| 207Q00000X | Family Medicine | OS021618 | PA |
Practice location
Washington RoadPrinceton, NJ 08544-3956
Phone 609-258-3141
Mailing address
Washington RoadPrinceton, NJ 08544-0001
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