Individual
POURANG BRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 BERGEN AVE, 2ND FLOOR, JERSEY CITY, NJ 07306
(201) 222-1123
Mailing address
155 ALBION ST, PASSAIC, NJ 07055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI19857
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7165803
—
NJ
Enumeration date
05/02/2007
Last updated
07/08/2007
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