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Individual
BRANDON M BUNGO
Active
Individual
BRANDON M BUNGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.138862
OH
207RH0003X
Hematology & Oncology Physician
Primary
036.156133
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
12/09/2024
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