Individual
JACLYN RENEE BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 COOPER PLZ, DEPARTMENT OF EMERGENCY MEDICINE, CAMDEN, NJ 08103-1461
(856) 342-2627
Mailing address
570 N 23RD ST, APT. 2B, PHILADELPHIA, PA 19130-3159
(973) 220-7547
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
MT195992
PA
Other
Enumeration date
07/29/2009
Last updated
06/21/2011
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