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Organization
BRUSO MEDICAL GROUP, INC.
Active
Organization
BRUSO MEDICAL GROUP, INC.
Active
Other names
North Coast Physical Medicine Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA ROSE BRUSO DO (OWNER/PRESIDENT)
(707) 791-5835
Entity
Organization
Contact information
Practice address
990 SONOMA AVE STE 3, SANTA ROSA, CA 95404-4813
(707) 225-3535
Mailing address
990 SONOMA AVE STE 3, SANTA ROSA, CA 95404-4813
(707) 225-3535
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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