Individual
JOSEPH A BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5422
(919) 425-0459
Mailing address
2828 CROASDAILE DR, DURHAM, NC 27705-2505
(919) 425-1565
(919) 425-0459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00126800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00126800
MEDICAL LICENSE
NJ
Enumeration date
05/23/2007
Last updated
05/15/2008
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