Individual
DR. JOSEPH N. BRUNO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E MOUNTAIN BLVD, DEPT OF RADIOLOGY, WILKES BARRE, PA 18711-0027
(570) 808-7779
(570) 808-2394
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD028568L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000703950
—
PA
Enumeration date
02/22/2006
Last updated
04/07/2011
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