Organization
ALLA BROUK, M.D.,P.C.
Active
Other names
Alla Brouk, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA BROUK MD (PRESIDENT)
(201) 569-9010
Entity
Organization
Contact information
Practice address
140 GRAND AVE, ENGLEWOOD, NJ 07631
(201) 569-9010
(201) 569-9063
Mailing address
140 GRAND AVE, ENGLEWOOD, NJ 07631
(201) 569-9010
(201) 569-9063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07770600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044652
—
NJ
Enumeration date
01/18/2007
Last updated
03/13/2009
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