Individual provider · Type 1 NPI
Bruce R. Brilliantine, DC
Chiropractor · Lawrenceville, NJ
NPI number
1386045706
Active
Practice location
2 Princess Road, Suiet #2
Lawrenceville, NJ 08648
Fax (609) 324-9400
Mailing address
P.o. Box 352
Crosswicks, NJ 08515-9685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00173600 (NJ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1386045706
Bruce R. Brilliantine, DC's National Provider Identifier is 1386045706, issued on Sep 5, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lawrenceville, NJ. The record was last updated on Sep 5, 2014.