| Doctor Name: | MRS. PAMELA D KANCE BROLIN |
| NPI Number: | 1215140637 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 26NR04738000 |
| Business Practice Address: | 4250 Us Highway 1 Suite 1 Monmouth Junction, NJ - 088521966 |
| Business Phone Number: | 7324383666 |
| Business Fax Number: | 7324381660 |
| Mailing Address: | 4250 Us Highway 1, Suite 1 MONMOUTH JUNCTION |
| State: | NJ |
| Postal Code: | 088521966 |
| Phone Number: | 7324383666 |
| Fax Number: | 7324381660 |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 26NR04738000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |