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NPI Code Detail

MEDICARE: DR. ALAN PETER BRUN MD

MEDICARE: DR. ALAN PETER BRUN MD
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician022831NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2D00317300OTHERNJCDS

General Provider Information

NPI Number : 1558341495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN PETER BRUN MD
Provider Business Mailing Address
First Line : 55 FERGUSON RD
Second Line :
City : WARREN
State : NJ
Zip : 07059-6907
Country : US
Telephone Number : 908-561-0269
Fax Number : 908-561-2854
Provider Business Practice Location Address
First Line : 190 GREENBROOK RD
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07060-3903
Country : US
Telephone Number : 908-561-0269
Fax Number : 908-561-2854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 09/18/2007

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