Individual
DR. BRUCE J. BRENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 322-7233
(973) 322-7499
Mailing address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 322-7233
(973) 322-7499
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA02742400
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MA02742400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1812408
—
NJ
Enumeration date
06/28/2005
Last updated
03/13/2024
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