Bruck, Harold M

Bruck, Harold M is an sole proprietor health care provider with primary practice located at 385 S Maple Ave , Glen Rock NJ 07452-1543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Bruck, Harold M can be contacted via phone (201) 652-2800.

Contact Information

Primary practice address
385 S Maple Ave Glen Rock NJ 07452-1543
Fax: (201) 652-2963
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MA01983400 New Jersey
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 090825 New York

Profile Details

NPI number 1740246099
LBN Legal business name Bruck, Harold M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Jul 12th, 2010 - about 14 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 1740246099 NPPES
New York Other 090825 STATE MEDICAL LICENSE
New York MEDICAID 2809702 STATE MEDICAL LICENSE
New York Other MA01983400 STATE MEDICAL LICENSE

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