Individual
RAFFAELE BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-1099
Mailing address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-8564
(781) 744-1099
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
74392
MA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
74392
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081176
—
MA
Enumeration date
12/20/2006
Last updated
11/21/2013
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