Provider Demographics
NPI:1063486702
Name:BRUNO, FRANCIS C (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:C
Last Name:BRUNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11085 LITTLE PATUXENT PARKWAY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044
Mailing Address - Country:US
Mailing Address - Phone:410-997-2770
Mailing Address - Fax:410-997-0066
Practice Address - Street 1:11085 LITTLE PATUXENT PARKWAY
Practice Address - Street 2:SUITE 104
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-997-2770
Practice Address - Fax:410-997-0066
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDDOOO9526207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD011914319OtherRAILROAD MEDICARE
MD117931400Medicaid
MD011914319OtherRAILROAD MEDICARE