Brouder, Daniel J

Brouder, Daniel J is an individual health care provider with primary practice located at 210 Jack Martin Blvd Suite D-1, Brick NJ 08724-7771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Brouder, Daniel J can be contacted via phone (732) 458-5067.

Contact Information

Primary practice address
210 Jack Martin Blvd Suite D-1 Brick NJ 08724-7771
Fax: (732) 458-4962
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA07572700 New Jersey

Profile Details

NPI number 1659313963
LBN Legal business name Brouder, Daniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659313963 NPPES
New Jersey MEDICAID 0052078
New Jersey Other P00053546

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