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Individual

DR. DANIEL BLAISE BRUZZINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 HADDONFIELD BERLIN RD STE 210, VOORHEES, NJ 08043
(856) 782-2212
(856) 782-2266
Mailing address
1000 HADDONFIELD BERLIN RD STE 210, VOORHEES, NJ 08043-3520
(856) 782-2212
(856) 782-2266

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2001008796
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01075127A
IN
05
036137763
IL
05
MD466001
PA
05
R9339
TX
Enumeration date
12/24/2005
Last updated
04/29/2019
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