Individual
MR. JOHN A BRUNGO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4721 MCKNIGHT RD, SUITE 209N, PITTSBURGH, PA 15237-3415
(412) 366-5550
(412) 366-7044
Mailing address
1100 WASHINGTON AVE, SUITE 215, CARNEGIE, PA 15106-3616
(412) 278-5100
(412) 278-5105
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD028567-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006720020001
—
PA
Enumeration date
06/28/2005
Last updated
07/08/2007
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