Individual
DR. PETER DENIS BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1499 CHAIN BRIDGE RD, SUITE 100, MCLEAN, VA 22101-5704
(703) 442-8301
(703) 790-1773
Mailing address
1499 CHAIN BRIDGE RD, SUITE 100, MCLEAN, VA 22101-5704
(703) 442-8301
(703) 790-1773
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101031799
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004269897
AETNA PPO
—
01
—
066932
ANTHEM BC/BS OF VA
VA
01
—
16496
NCPPO
—
01
—
2479
BC/BS OF DC
DC
01
—
VA31799
MUTUAL OF OMAHA
—
Enumeration date
08/01/2006
Last updated
07/09/2007
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