Provider Demographics
NPI:1326426099
Name:CASTRO DE OLIVEIRA, BRUNA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUNA MARIA
Middle Name:
Last Name:CASTRO DE OLIVEIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRUNA
Other - Middle Name:MARIA CASTRO DE
Other - Last Name:OLIVEIRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:GRB 444
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-726-3030
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:GRB 444
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-263195207L00000X
MA277722207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology