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
Phone: (201) 652-2800
Fax: (201) 652-2963
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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