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Organization
VANDA BRUNER MD PA
Active
Organization
VANDA BRUNER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANDA BRUNER MD (PRESIDENT)
(732) 946-7951
Entity
Organization
Contact information
Practice address
719 N BEERS ST, SUITE 1A, HOLMDEL, NJ 07733-1522
(732) 264-4646
Mailing address
23 COUNTRY SQUIRE LN, HOLMDEL, NJ 07733-2369
(732) 946-7951
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA57098
NJ
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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