Individual
DR. HAROLD P BRUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 UPPER RIVERDALE RD SW, PATH DEPT, RIVERDALE, GA 30274-2615
(770) 991-8615
Mailing address
11 UPPER RIVERDALE RD SW, PATH DEPT, RIVERDALE, GA 30274-2615
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
014162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00278913B
—
GA
Enumeration date
04/03/2006
Last updated
04/26/2026
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