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1932193752
JEROME M BRUSTEIN
BINGHAMTON, NY
NPI
1932193752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 177218)
Enumeration Date
2005-09-08
Last Update Date
2007-07-08
Business Address
-- JEROME M BRUSTEIN MD
169 RIVERSIDE DR
BINGHAMTON, NY 13905-4246
Phone number: 607-798-5223
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Mailing Address
-- JEROME M BRUSTEIN MD
5 W STATE ST
BINGHAMTON, NY 13901-2322
Phone number: 607-772-9462
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