# HAROLD M BRUCK, MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538477195
- **Authorized official:** DR. HAROLD M BRUCK (M.D.)
- **Authorized official phone:** (201) 652-2800

## Contact information

- **Practice address:** 385 S MAPLE AVE, GLEN ROCK, NJ 07452-1543
- **Practice address phone:** (201) 652-2800
- **Mailing address:** 385 S MAPLE AVE, GLEN ROCK, NJ 07452-1543
- **Mailing address phone:** (201) 652-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | MA01983400 | NJ | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 10/12/2010