Individual
MR. BRIAN REVFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-7386
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-7386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00656900
NJ
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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