# DR. ANTHONY G BRUNOZZI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457330706
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS008501L | PA | Yes |

## Other

- **Enumeration date:** 01/14/2006
- **Last updated:** 05/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0073048400002 | — | PA |
| 01 | — | 0572036000 | KEYSTONE EAST | PA |
| 01 | — | 08012767 | MEDICARE TRAVELERS | PA |
| 01 | — | 10923820 | CAQH NUMBER | — |
| 01 | — | 118864300 | U.S. DEPT. OF LABOR | PA |
| 01 | — | 16768 | UMWA | PA |
| 01 | — | 167688828 | TRICARE | PA |
| 01 | — | 2Y2473 | HEALTHNET | PA |
| 01 | — | 5027469 | AETNA PPO | PA |
| 01 | — | 5377164001 | CIGNA INSURNACE CO. | PA |
| 01 | — | 5998012 | G.H.I INSURANCE COMPANY | PA |
| 01 | — | 729738 | BLUE CROSS BLUE SHIELD | PA |
| 01 | — | 96500 | OPERATOR'S 825 WELFARE | PA |
| 01 | — | P9355940 | OXFORD | PA |