DMITRIY BRENER

OLD BRIDGE, NJ
NPI1730802869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00735100)
Enumeration Date2022-09-23
Last Update Date2022-09-23
Business Address
DMITRIY BRENER PA-C
200 PERRINE RD STE 220
OLD BRIDGE, NJ 08857-2836
Phone number: 201-753-8862
Mailing Address
DMITRIY BRENER PA-C
15 ENGLE ST STE 102
ENGLEWOOD, NJ 07631-2920
Phone number: 201-753-8862