Individual provider · Type 1 NPI
Mary Johnson-Brunner
Customized Equipment (DME) · Jersey City, NJ
NPI number
1366861049
Active
Practice location
55 River Dr S, # 209
Jersey City, NJ 07310-1712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 1861464 (NJ) |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1366861049
Mary Johnson-Brunner's National Provider Identifier is 1366861049, issued on Apr 10, 2014. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Jersey City, NJ. The record was last updated on Apr 10, 2014.