Provider Demographics
NPI:1790912038
Name:BRUNO, PIERRE R (SURGICAL ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:PIERRE
Middle Name:R
Last Name:BRUNO
Suffix:
Gender:M
Credentials:SURGICAL ASSISTANT
Other - Prefix:MS
Other - First Name:PIERRE
Other - Middle Name:R
Other - Last Name:BRUNO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1111 GRESHAM RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1433
Mailing Address - Country:US
Mailing Address - Phone:301-384-2221
Mailing Address - Fax:
Practice Address - Street 1:1111 GRESHAM RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1433
Practice Address - Country:US
Practice Address - Phone:301-384-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-14
Last Update Date:2009-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant