Individual
BRENDA PATRICIA BRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1289 ROUT 38 WEST, SUITE 100, HAINESPORT, NJ 08036
(856) 265-0809
Mailing address
307 SUGARMAN AVE, MILLVILLE, NJ 08332-4924
(856) 265-0809
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
26NJ01019100
NJ
2084P0800X
Psychiatry Physician
Primary
26NJ01019100
NJ
Other
Enumeration date
03/31/2020
Last updated
02/18/2025
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