Brunetti, Jacqueline C.

Brunetti, Jacqueline C. is an individual health care provider with primary practice located at 718 Teaneck Rd Peace Health Partners, Pc, Teaneck NJ 07666-4245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Brunetti, Jacqueline C. can be contacted via phone (201) 833-3280.

Contact Information

Primary practice address
718 Teaneck Rd Peace Health Partners, Pc Teaneck NJ 07666-4245
Phone: (201) 833-3280
Fax: (201) 541-5919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MA37151 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA03715100 New Jersey

Profile Details

NPI number 1891722724
LBN Legal business name Brunetti, Jacqueline C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jun 4th, 2014 - about 10 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 1891722724 NPPES
New Jersey MEDICAID 0978809

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