Individual
BRUNO P TOLGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
088151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000413015005
BS NENY PROVIDER #
NY
05
—
00373340
—
NY
01
—
10002049
CDPHP
NY
01
—
13106
MVP PROVIDER #
NY
01
—
630N11
EMPIRE BC PROVIDER #
NY
Enumeration date
02/28/2007
Last updated
07/09/2007
Update your record
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