Individual
DENNIE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
91 KINGSBRIDGE DR, LUMBERTON, NJ 08048-5033
(201) 275-5148
Mailing address
91 KINGSBRIDGE DR, LUMBERTON, NJ 08048-5033
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
25MB09370100
NJ
208D00000X
General Practice Physician
20A 11319
CA
390200000X
Student in an Organized Health Care Education/Training Program
0116023928
VA
Other
Enumeration date
07/19/2011
Last updated
07/16/2014
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