Individual
DR. WILLAIM J DEBRUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2560
(973) 754-3702
Mailing address
PO BOX 36282, NEWARK, NJ 07188-6282
(973) 773-0100
(973) 773-2101
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MA57463
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5043701
—
NJ
Enumeration date
06/01/2005
Last updated
08/25/2008
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