Organization
PITTSTON MEDICAL ASSOCIATES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R BRUNO MD (TREASURER OFFICER)
(570) 655-9107
Entity
Organization
Contact information
Practice address
1099 S TOWNSHIP BLVD, SUITE A, PITTSTON, PA 18640-3247
(570) 655-1495
(570) 655-6945
Mailing address
1099 S TOWNSHIP BLVD, SUITE A, PITTSTON, PA 18640-3247
(570) 655-1495
(570) 655-6945
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
000417
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308237
HIGHMARK BLUE CROSS/BLUE SHIELD
PA
Enumeration date
02/06/2006
Last updated
05/08/2008
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