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Contact Information

HAROLD M BRUCK, MD
385 S MAPLE AVE
GLEN ROCK, NJ07452-1543
 Phone: 201-652-2800
 Fax: 201-652-2963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HAROLD M BRUCK · (Male)

NPI # 1740246099
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2006
Last updated 07/12/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA01983400
  • NY License # 090825
  • NJ Medicaid 2809702
  • NJ Other MA01983400 STATE MEDICAL LICENSE
  • NY Other 090825 STATE MEDICAL LICENSE
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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