Individual
JOHN M BRUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3615 CHESTNUT STREET, RALSTON - PENN CENTER, PHILADELPHIA, PA 19104-2612
(215) 662-2746
(215) 349-5648
Mailing address
3615 CHESTNUT STREET, RALSTON - PENN CENTER, PHILADELPHIA, PA 19104-2612
(215) 662-2746
(215) 349-5648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD064174L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016745200001
—
PA
Enumeration date
06/14/2006
Last updated
03/08/2012
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