Individual
DR. BRUCE N TERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE RM 120, HACKENSACK, NJ 07601-1915
(551) 996-5437
(201) 487-7340
Mailing address
3600 STATE ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0800
(201) 487-7340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MA43713
NJ
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MA43713
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0650609
—
NJ
01
—
162211DHK
MEDICARE NJ
NJ
Enumeration date
07/07/2006
Last updated
08/26/2020
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