Individual
PETER BRUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
170 KINNELON RD RM 29A, KINNELON, NJ 07405-2351
(973) 838-5862
(973) 283-0724
Mailing address
170 KINNELON RD RM 29A, KINNELON, NJ 07405-2351
(973) 838-5862
(973) 283-0724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D101280800
NJ
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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