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Contact Information

BRENDA P BRUCK, PMHNP
1289 ROUT 38 WEST
SUITE 100
HAINESPORT, NJ08036
 Phone: 856-265-0809
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BRENDA P BRUCK · (Female)

NPI Number 1235767500
Status Active
Credentials PMHNP
Entity Individual
Enumeration date 03/31/2020
Last updated 02/18/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ01019100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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