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Individual

REGINA M BRUNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA

Contact information

Practice address
29017 CEDAR RD, LYNDHURST, OH 44124-4073
(440) 460-8000
(440) 460-1759
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000062
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000232156
UNISON
OH
01
000000527826
ANTHEM
OH
01
0583328
BCMH
OH
01
0935063
AETNA
OH
05
2256697
OH
01
405983
WELLCARE MEDICAID
OH
01
POO465328
RAILROAD MEDICARE
OH
Enumeration date
08/23/2005
Last updated
05/12/2008
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