| Bruneau Family Care Pc | |
|
2963 Marne Hwy Mount Laurel NJ 08054-2036 | |
| (856) 638-1990 | |
| (856) 583-0359 |
| Full Name | Bruneau Family Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2963 Marne Hwy, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Lisa Drzal (OFFICE MANAGER) |
| Authorized Official Contact | 8566381990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruneau Family Care Pc 110 Marter Ave St 408 Moorestown NJ 08057-3124 Ph: (856) 638-1990 | Bruneau Family Care Pc 2963 Marne Hwy Mount Laurel NJ 08054-2036 Ph: (856) 638-1990 |
| NPI Number | 1659328094 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 07/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659328094 | NPI | - | NPPES |
| 8712701 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA64311 (New Jersey) | Primary |
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