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NPI Code Detail

MEDICARE: MR. DANIEL BREWER L.P.C.

MEDICARE: MR. DANIEL BREWER L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor37PC00520000NJ

General Provider Information

NPI Number : 1346620127
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL BREWER L.P.C.
Provider Business Mailing Address
First Line : 221 RIVER ST STE 9
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5990
Country : US
Telephone Number : 201-820-8851
Fax Number :
Provider Business Practice Location Address
First Line : 221 RIVER ST STE 9
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5990
Country : US
Telephone Number : 201-820-8851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2015
Last Update Date : 04/16/2025

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