Individual
DR. BRUCE R. BRILLIANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2 PRINCESS ROAD, SUIET #2, LAWRENCEVILLE, NJ 08648
(609) 883-2222
(609) 324-9400
Mailing address
P.O. BOX 352, CROSSWICKS, NJ 08515-9685
(609) 883-2222
(609) 324-9400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00173600
NJ
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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