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Individual
MARK BRUMER
Active
Individual
MARK BRUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA01030800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1563394
AMERIHEALTH
NJ
Enumeration date
02/06/2007
Last updated
05/18/2015
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