Bruder, Mark J

Bruder, Mark J is an individual health care provider with primary practice located at 1620 S. Queen St. Ste 2 , York PA 17403-4637. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Bruder, Mark J can be contacted via phone (800) 999-1249.

Contact Information

Primary practice address
1620 S. Queen St. Ste 2 York PA 17403-4637
Phone: (800) 999-1249
Fax: (855) 656-7325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R130259 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X UP005328B Pennsylvania

Profile Details

NPI number 1609864180
LBN Legal business name Bruder, Mark J
Credentials MSN, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated May 23rd, 2024 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609864180 NPPES
Maryland Other 500014862 MEDICARE RR

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