Individual
DR. BRYAN R. BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
703 GINESI DRIVE, MORGANVILLE, NJ 07751
(732) 617-8686
Mailing address
180 TULIP LANE, FREEHOLD, NJ 07728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03015300
NJ
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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