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Individual

BRUCE PHARISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8 HILLSIDE AVE, SUITE 106, MONTCLAIR, NJ 07042-2129
(973) 509-2371
(973) 744-9003
Mailing address
8 HILLSIDE AVE, SUITE 106, MONTCLAIR, NJ 07042-2129
(973) 509-2371
(973) 744-9003

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
25MA08185900
NJ
2084P0800X
Psychiatry Physician
188784
NY
2084P0800X
Psychiatry Physician
Primary
25MA08185900
NJ
2084P0802X
Addiction Psychiatry Physician
188784
NY

Other

Enumeration date
10/09/2006
Last updated
12/08/2014
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