Bruno, Gabrielle Marie

Bruno, Gabrielle Marie is an individual health care provider with primary practice located at 101 Gaither Dr , Mount Laurel NJ 08054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bruno, Gabrielle Marie can be contacted via phone (856) 810-9888.

Contact Information

Primary practice address
101 Gaither Dr Mount Laurel NJ 08054
Phone: (856) 810-9888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00523700 New Jersey

Profile Details

NPI number 1568021640
LBN Legal business name Bruno, Gabrielle Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Jun 11th, 2019 - about 5 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 1568021640 NPPES
New Jersey Other 25MP00523700 NJ BOARD OF MEDICAL EXAMINERS
New Jersey Other 1162214 NJ BOARD OF MEDICAL EXAMINERS

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