Individual
DR. TERRI LYNN BRUCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
477 ROUTE 10 E, SUITE 201, RANDOLPH, NJ 07869-2142
(973) 534-5132
Mailing address
28 HERITAGE LN, HAMBURG, NJ 07419-1328
(973) 534-5132
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
38MC00569500
NJ
111NR0400X
Rehabilitation Chiropractor
38MC00569500
NJ
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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