Individual
ANTHONY GABRIEL BRUTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
HONESDALE PODIATRY, 600 MAPLE AVE, SUITE 4, HONESDALE, PA 18431
(570) 253-8177
(484) 763-3777
Mailing address
600 MAPLE AVE, SUITE 4, HONESDALE, PA 18431
(570) 253-8177
(484) 763-3777
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006909
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC0069O9
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
01/15/2025
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