| Alla Brouk, M.d.,p.c. | |
|
140 Grand Ave Englewood NJ 07631 | |
| (201) 569-9010 | |
| (201) 569-9063 |
| Full Name | Alla Brouk, M.d.,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 140 Grand Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Alla Brouk (PRESIDENT) |
| Authorized Official Contact | 2015699010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alla Brouk, M.d.,p.c. 140 Grand Ave Englewood NJ 07631 Ph: (201) 569-9010 | Alla Brouk, M.d.,p.c. 140 Grand Ave Englewood NJ 07631 Ph: (201) 569-9010 |
| NPI Number | 1548313398 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 03/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548313398 | NPI | - | NPPES |
| 0044652 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07770600 (New Jersey) | Primary |
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