Bruneau Family Care Pc

LBN: Bruneau Family Care Pc
Bruneau Family Care Pc is an health care organization with primary practice located at 2963 Marne Hwy , Mount Laurel NJ 08054-2036. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bruneau Family Care Pc can be contacted via phone (856) 638-1990, or through Drzal, Lisa via phone (856) 638-1990.

Contact Information

Primary practice address
2963 Marne Hwy Mount Laurel NJ 08054-2036
Phone: (856) 638-1990
Fax: (856) 583-0359
Website:
Map and Directions
Authorized official contact:
Name: Drzal, Lisa
Phone: (856) 638-1990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA64311 New Jersey

Profile Details

NPI number 1659328094
LBN Legal business name Bruneau Family Care Pc
DBA Doing business as
Authorized official Drzal, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2006
Last updated Jul 25th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659328094 NPPES
New Jersey MEDICAID 8712701

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