Provider Demographics
NPI:1275762080
Name:CASILE, BRUNO (DO)
Entity Type:Individual
Prefix:
First Name:BRUNO
Middle Name:
Last Name:CASILE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1533 BROAD AVENUE EXTENSION
Mailing Address - Street 2:SUITE100
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-1935
Mailing Address - Country:US
Mailing Address - Phone:724-929-6700
Mailing Address - Fax:724-929-2663
Practice Address - Street 1:1200 BROOKS LN STE 110
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3749
Practice Address - Country:US
Practice Address - Phone:412-466-5502
Practice Address - Fax:412-469-8948
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2020-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOT013097207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine