Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD443630 | PA |
N | 111NI0900X | Internist | MD443630 | PA |
N | 207RH0000X | Hematologist | MD443630 | PA |
Y | 207RH0003X | Hematology & Oncology | 25MA10052500 | NJ |
N | 207RX0202X | Medical Oncology | 25MA10052500 | NJ |
N | 207RX0202X | Medical Oncology | MD443630 | PA |
NPI | 1265641120 |
---|---|
Provider Name | Dr. Christina Brus |
First Address | Camden, NJ 08103-1088 |
Second Address | Voorhees, NJ 08043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 29/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0271870 | (05) | NJ |
102630004 | (05) | PA |