Marie Brusgard-cerra OD

NPI 1417010745 - Optometrist - 152W00000X

NPI Details
NPI 1417010745
Gender Female
Enumeration Date 12/18/2006
Last Updated 06/02/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1004 STATE ROUTE 35
MIDDLETOWN NJ, 07748-2604, US
Phone (732) 615-9300
Fax (732) 615-9302
Business Location
1004 STATE ROUTE 35
MIDDLETOWN NJ, 07748-2604, US
Phone (732) 615-9300
Fax (732) 615-9302
Toxanomy
Taxonomy Code 152W00000X
License State New Jersey
License Number 27OA00485200
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According to our database, Dr. Marie Brusgard-cerra OD NPI is 1417010745, taxonomy code is 152W00000X and license number is 27OA00485200, license state is located at New Jersey. Marie Brusgard-cerra OD physically located at 1004 State Route 35, Middletown NJ, 07748-2604. NPI Number Marie Brusgard-cerra OD has the Individual type.

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1417010745 NPI number is provided on an as is basis without warranty of any kind. 1417010745 is maintained by the National Plan & Provider Enumeration System. The contents of Marie Brusgard-cerra OD are for informational purposes only.