Individual
MS. GABRIELLE MARIE BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2099 NEW ALBANY RD, CINNAMINSON, NJ 08077-3534
(609) 926-8899
(856) 772-1997
Mailing address
209 LAMP POST LN, CHERRY HILL, NJ 08003-1313
(201) 320-5499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00523700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1162214
NCCPA
—
01
—
25MP00523700
NJ BOARD OF MEDICAL EXAMINERS
NJ
Enumeration date
06/11/2019
Last updated
07/31/2024
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