Dr. Ronni Dara Bruck
Orthodontists
403 Washington Ln
Jenkintown
, Pennsylvania 19046-3123
Dr. Ronni Dara Bruck
Orthodontists
403 Washington Ln
Jenkintown
, Pennsylvania 19046-3123
(267) 253-3048
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Ronni Dara Bruck
- 1830 Lombard St Apt 8a
- Philadelphia, PA
- Zip : 19146-4003
- Phone : (267) 253-3048
Second Address
- Dr. Ronni Dara Bruck
- 403 Washington Ln
- Jenkintown, PA
- Zip : 19046-3123
- Fax : (215) 576-8998
- Phone : (215) 576-5805
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | DS036769 | PA |
National Provider Identifier
| NPI | 1033426507 |
|---|---|
| Provider Name | Dr. Ronni Dara Bruck |
| First Address | Philadelphia, PA 19146-4003 |
| Second Address | Jenkintown, PA 19046-3123 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2010 |
| Last Update Date | 07/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.