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Individual

WILLIAM W BRUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP,FNP-BC,PMHNP-BC

Contact information

Practice address
1200 S WHITE HORSE PIKE, SOMERDALE, NJ 08083-1331
(856) 792-7513
Mailing address
307 SUGARMAN AVE, MILLVILLE, NJ 08332-4924
(856) 405-5140

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00757800
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00757800
NJ

Other

Enumeration date
11/06/2017
Last updated
05/02/2025
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