Individual
MARY JOHNSON-BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 RIVER DR S, # 209, JERSEY CITY, NJ 07310-1712
(201) 936-6606
Mailing address
55 RIVER DR S, # 209, JERSEY CITY, NJ 07310-1712
(201) 936-6606
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1861464
NJ
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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