Provider Demographics
NPI:1053980045
Name:DUNOFF, BRETT LOUIS (RN)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:LOUIS
Last Name:DUNOFF
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 CORONET LN
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-2210
Mailing Address - Country:US
Mailing Address - Phone:856-656-7787
Mailing Address - Fax:
Practice Address - Street 1:1036 CORONET LN
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-2210
Practice Address - Country:US
Practice Address - Phone:856-656-7787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR22329600163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)