Bruckner, Marc David

Bruckner, Marc David is an sole proprietor health care provider with primary practice located at 13 Birch Tree Ln Pob 358, Livingston NJ 07039-0358. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bruckner, Marc David can be contacted via phone (973) 535-6505.

Contact Information

Primary practice address
13 Birch Tree Ln Pob 358 Livingston NJ 07039-0358
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00230000 New Jersey

Profile Details

NPI number 1902881527
LBN Legal business name Bruckner, Marc David
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Jun 21st, 2011 - about 13 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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