Brunetto, Jacqueline G
Brunetto, Jacqueline G is an individual health care provider with primary practice located at 804 W Park Ave , Ocean NJ 07712-7272. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brunetto, Jacqueline G can be contacted via phone (732) 531-0010.Contact Information
Primary practice address
804 W Park Ave
Ocean NJ 07712-7272
Phone: (732) 531-0010
Fax: (732) 493-0903
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MAO6712100 | New Jersey |
Profile Details
NPI number | 1689645806 |
---|---|
LBN Legal business name | Brunetto, Jacqueline G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2006 |
Last updated | Dec 10th, 2012 - about 12 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 | 1689645806 | NPPES |
New Jersey | MEDICAID | 7988907 |
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