Individual
DR. DENNIS BRUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9 BROAD ST, ELIZABETH, NJ 07201-2215
(908) 352-2186
(908) 351-1230
Mailing address
9 BROAD ST, ELIZABETH, NJ 07201-2215
(908) 352-2186
(908) 351-1230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00355500
NJ
152W00000X
Optometrist
27TO00074400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7081201
—
NJ
Enumeration date
12/04/2006
Last updated
07/08/2007
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