Provider Demographics
NPI:1457330706
Name:BRUNOZZI, ANTHONY G (DO)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:G
Last Name:BRUNOZZI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-7037
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1609 WOODBOURNE RD STE 101
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057
Practice Address - Country:US
Practice Address - Phone:215-945-1500
Practice Address - Fax:215-945-9192
Is Sole Proprietor?:No
Enumeration Date:2006-01-14
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS008501L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0572036000OtherKEYSTONE EAST
PA96500OtherOPERATOR'S 825 WELFARE
PA08012767OtherMEDICARE TRAVELERS
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PA5377164001OtherCIGNA INSURNACE CO.
PA729738OtherBLUE CROSS BLUE SHIELD
10923820OtherCAQH NUMBER
PA118864300OtherU.S. DEPT. OF LABOR
PA16768OtherUMWA
PA167688828OtherTRICARE
PA2Y2473OtherHEALTHNET
PA5998012OtherG.H.I INSURANCE COMPANY
PA5027469OtherAETNA PPO
PA0073048400002Medicaid
PA16768OtherUMWA
PA5027469OtherAETNA PPO
PA16768OtherUMWA
PA5027469OtherAETNA PPO