Individual
MR. BRUCE W HUNTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 N WOLFE ST, MARBURG B-186, BALTIMORE, MD 21287-0005
(410) 283-0896
Mailing address
10 TAYLOR ST, HIGH BRIDGE, NJ 08829-1528
(908) 638-5160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0003460
MD
363A00000X
Physician Assistant
25MP000308
NJ
Other
Enumeration date
10/02/2006
Last updated
07/20/2007
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