Healthcare Provider Details

I. General information

NPI: 1881126696
Provider Name (Legal Business Name): JUSTIN BUEHRIG APN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 07/19/2021
Certification Date: 07/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2073 KLOCKNER RD
HAMILTON NJ
08690-3414
US

IV. Provider business mailing address

230 CONOVER ST
BURLINGTON NJ
08016-1307
US

V. Phone/Fax

Practice location:
  • Phone: 609-584-1212
  • Fax: 609-584-0103
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00682900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: