Individual
MR. BARRY WALTER BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 CEDAR ST, APT. 402, FORT LEE, NJ 07024-7037
(201) 592-1289
Mailing address
101 CEDAR ST, APT. 402, FORT LEE, NJ 07024-7037
(201) 592-1289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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