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Individual

DR. MARC DAVID BRUCKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
13 BIRCH TREE LN, POB 358, LIVINGSTON, NJ 07039-0358
(973) 535-6505
Mailing address
PO BOX 358, LIVINGSTON, NJ 07039-0358

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00230000
NJ

Other

Enumeration date
12/07/2005
Last updated
06/21/2011
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