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
Fax: (732) 493-0903
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689645806 NPPES
New Jersey MEDICAID 7988907

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