Individual
DR. HAROLD M BRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
385 S MAPLE AVE, GLEN ROCK, NJ 07452-1543
(201) 652-2800
(201) 652-2963
Mailing address
385 S MAPLE AVE, GLEN ROCK, NJ 07452-1543
(201) 652-2800
(201) 652-2963
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
090825
NY
2086X0206X
Surgical Oncology Physician
Primary
MA01983400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090825
STATE MEDICAL LICENSE
NY
05
—
2809702
—
NJ
01
—
MA01983400
STATE MEDICAL LICENSE
NJ
Enumeration date
04/25/2006
Last updated
07/12/2010
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