Provider Demographics
NPI:1295933802
Name:BRUNO, ANTHONY D II (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:D
Last Name:BRUNO
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:50 GLENMAURA NATIONAL BLVD
Mailing Address - Street 2:STE 103
Mailing Address - City:MOOSIC
Mailing Address - State:PA
Mailing Address - Zip Code:18507-2124
Mailing Address - Country:US
Mailing Address - Phone:570-354-2565
Mailing Address - Fax:570-354-2120
Practice Address - Street 1:50 GLENMAURA NATIONAL BLVD
Practice Address - Street 2:STE 103
Practice Address - City:MOOSIC
Practice Address - State:PA
Practice Address - Zip Code:18507-2124
Practice Address - Country:US
Practice Address - Phone:570-354-2565
Practice Address - Fax:570-354-2120
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2018-03-13
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Provider Licenses
StateLicense IDTaxonomies
PAMD431043208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019339930001Medicaid
PA1019339930001Medicaid