Individual
REGINA BRONSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
89 SPARTA AVE, SUITE 100, SPARTA, NJ 07871-1777
(973) 729-2121
(973) 729-3454
Mailing address
532 LAFAYETTE RD, SUITE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07042400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8313709
—
NJ
Enumeration date
09/26/2005
Last updated
10/20/2011
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