Organization
BRUNEAU FAMILY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DRZAL (OFFICE MANAGER)
(856) 638-1990
Entity
Organization
Contact information
Practice address
2963 MARNE HWY, MOUNT LAUREL, NJ 08054-2036
(856) 638-1990
(856) 583-0359
Mailing address
110 MARTER AVE, ST 408, MOORESTOWN, NJ 08057-3124
(856) 638-1990
(856) 583-0359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA64311
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8712701
—
NJ
Enumeration date
05/30/2006
Last updated
07/25/2019
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