Individual
ANGELO MICHAEL BRUTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3814
(570) 941-0630
Mailing address
588 GRAVEL POND RD, SOUTH ABINGTON TOWNSHIP, PA 18411-9482
(570) 903-1001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060730
PA
Other
Enumeration date
07/11/2019
Last updated
12/11/2020
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