Individual
MR. JEFFREY BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 PLEASANT ST, BROCKTON, MA 02301-3055
(508) 583-6000
Mailing address
708 PARK PL, RAYNHAM, MA 02767-8068
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6054
MA
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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