Individual
DR. BASIL BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 RAILROAD AVE, SUITE 103, ROCHELLE PARK, NJ 07662-4105
(201) 928-0748
(201) 928-0842
Mailing address
18 RAILROAD AVE, SUITE 103, ROCHELLE PARK, NJ 07662-4105
(201) 928-0748
(201) 928-0842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
270553
NY
207Q00000X
Family Medicine Physician
MA055053
NJ
208000000X
Pediatrics Physician
Primary
25MA05505300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6029701
—
NJ
Enumeration date
11/01/2006
Last updated
04/29/2026
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