Brianjrdustinandrew
NPI #1053603431 in Salem, New Jersey
Provider Information
- NPI Number
- 1053603431
- Entity Type
- Organization
- Organization Name
- Brianjrdustinandrew
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- May 4, 2011
- Last Updated
- May 4, 2011
Practice Location
- Address
- 413 SALEM HANCOCKS BRIDGE RD
- City
- Salem
- State
- New Jersey
- ZIP Code
- 08079-9418
- Phone
- (856) 935-0427
Authorized Official
- Name
- MRS. DAWN MICHELE HARRIS, CNA/CHHA/EMT
- Title
- OWNER/OPERATOR
- Phone
- (856) 935-0427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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