Individual
DR. THEODORE BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 PLEASANT TER, DURHAM, CT 06422-2305
(860) 888-2700
Mailing address
12 PLEASANT TER, DURHAM, CT 06422-2305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030049
CT
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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