Provider Demographics
NPI:1356830731
Name:BRUNS, MARGARET DENNIN (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:DENNIN
Last Name:BRUNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CUMMINGS CTR STE 311T
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6260
Mailing Address - Country:US
Mailing Address - Phone:978-225-3376
Mailing Address - Fax:
Practice Address - Street 1:900 CUMMINGS CTR STE 311T
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6260
Practice Address - Country:US
Practice Address - Phone:978-225-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA290801207N00000X
IL125072562207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology