Individual
BRUCE ROBERT MOTTERSHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 N ROUTE 73 UNIT 36, WEST BERLIN, NJ 08091-1429
(856) 768-6688
(856) 768-9779
Mailing address
200 N ROUTE 73 UNIT 36, WEST BERLIN, NJ 08091-1429
(856) 768-6688
(856) 768-9779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01762800
NJ
Other
Enumeration date
12/07/2020
Last updated
12/12/2020
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