Provider Demographics
NPI:1972565521
Name:BRUNO & ORLANDO MED ASSOC
Entity Type:Organization
Organization Name:BRUNO & ORLANDO MED ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:NUNZIO
Authorized Official - Last Name:BRUNO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:570-654-1287
Mailing Address - Street 1:1099 SOUTH TOWNSHIP BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-3247
Mailing Address - Country:US
Mailing Address - Phone:570-654-1287
Mailing Address - Fax:570-654-4377
Practice Address - Street 1:1099 SOUTH TOWNSHIP BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-3247
Practice Address - Country:US
Practice Address - Phone:570-654-1287
Practice Address - Fax:570-654-4377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD028568L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty