Brener, Bruce J.
Brener, Bruce J. is an sole proprietor health care provider with primary practice located at 200 S Orange Ave , Livingston NJ 07039-5817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Brener, Bruce J. can be contacted via phone (973) 322-7233.Contact Information
Primary practice address
200 S Orange Ave
Livingston NJ 07039-5817
Phone: (973) 322-7233
Fax: (973) 322-7499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA02742400 | New Jersey |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25MA02742400 | New Jersey |
Profile Details
| NPI number | 1053317636 |
|---|---|
| LBN Legal business name | Brener, Bruce J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Mar 13th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053317636 | NPPES |
| New Jersey | MEDICAID | 1812408 |
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