Individual
MARGARETTE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-5108
(973) 972-8390
Mailing address
30 BERGEN ST., ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA05644800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6230601
—
NJ
Enumeration date
09/29/2006
Last updated
06/08/2009
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