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Individual
JOSEPH A BRUNO
Active
Individual
JOSEPH A BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00126800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00126800
MEDICAL LICENSE
NJ
Enumeration date
05/23/2007
Last updated
05/15/2008
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