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Organization

HAROLD M BRUCK, MDPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HAROLD M BRUCK (M.D.)
(201) 652-2800
Entity
Organization

Contact information

Practice address
385 S MAPLE AVE, GLEN ROCK, NJ 07452-1543
(201) 652-2800
Mailing address
385 S MAPLE AVE, GLEN ROCK, NJ 07452-1543
(201) 652-2800

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MA01983400
NJ

Other

Enumeration date
09/16/2010
Last updated
10/12/2010
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