Individual
MR. JOSEPH CHRIS BRUNO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 GODWIN BLVD FL 1, SUFFOLK, VA 23434
(757) 934-4821
(757) 934-4276
Mailing address
2800 GODWIN BLVD FL 1, SUFFOLK, VA 23434-8038
(757) 934-4821
(757) 934-4276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101267269
VA
208M00000X
Hospitalist Physician
0101267269
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2414399
—
LA
Enumeration date
03/22/2016
Last updated
08/06/2019
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