BRIANJRDUSTINANDREW NPI 1053603431

NPI Information

  • NPI: 1053603431
  • Provider Name: BRIANJRDUSTINANDREW
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Other Name: BDA
  • Address: 413 SALEM HANCOCKS BRIDGE RD
    SALEM, NJ
    ZIP 08079
  • Phone: (856) 935-0427

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NPI Details

BRIANJRDUSTINANDREW is a health service clinic center in Salem, NJ. BRIANJRDUSTINANDREW NPI is 1053603431. The provider is registered as an organization entity type.
The provider Other Name Is Bda.

The provider's business location address is:

413 SALEM HANCOCKS BRIDGE RD
SALEM, NJ
ZIP 08079-418
Phone: (856) 935-0427
Fax: (856) 935-0427

The provider's authorized official is Dawn Michele Harris .
The authorized official title is Owner/operator and has the following contact phone number (856) 935-0427.

The enumeration date for this NPI number is 5/4/2011 and was last updated on 5/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth Service26NH07335300NEW JERSEYNo
2261QH0100XClinic/CenterHealth ServiceNANJ0608042655NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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