Provider Demographics
NPI:1609818533
Name:BRUNO, JOSEPH M (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:M
Last Name:BRUNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1095 RYDAL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RYDAL
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1711
Mailing Address - Country:US
Mailing Address - Phone:267-620-1100
Mailing Address - Fax:215-572-1279
Practice Address - Street 1:1095 RYDAL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RYDAL
Practice Address - State:PA
Practice Address - Zip Code:19046-1711
Practice Address - Country:US
Practice Address - Phone:267-620-1100
Practice Address - Fax:215-572-1279
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2011-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD064309L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00268876OtherPALMETTO GBA
PW001754461OtherHIGHMARK BLUE SHIELD
PA1687680OtherCIGNA
PA231937219OtherDEVON
PA2419860000OtherKEYSTONE HEALTH PLAN EAST
PW231937219OtherMULTIPLAN
PA231937219OtherTRICARE
PA001754461OtherAMERIHEALTH
PA231937219OtherFIRST HEALTH
PA001754461OtherPERSONAL CHOICE
PA14617OtherHEALTH PARTNERS
PA3981520OtherAETNA
PA14617OtherHEALTH PARTNERS