Individual
DR. ANTHONY CARMEN BRUTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 JEFFERSON AVE, SCRANTON, PA 18510-1007
(570) 346-7900
(570) 963-5060
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD025444E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011941970002
—
PA
Enumeration date
07/28/2005
Last updated
01/19/2022
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