Bruce D Marzullo in Poughkeepsie - Oral And Maxillofacial Surgery
Bruce D Marzullo - NPI 1154461689
Bruce D Marzullo is a Oral And Maxillofacial Surgery in Poughkeepsie, New York. Bruce D Marzullo practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bruce D Marzullo is 1154461689. The last update date is 2023-03-07.
Bruce D Marzullo's current location address is 43 Lagrange Avenue, Poughkeepsie, New York. You can contact this provider via phone number 8454522900 and fax number 8454524974. The mailing address for Bruce D Marzullo is 43 Lagrange Avenue, Poughkeepsie, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce D Marzullo |
|---|---|
| Address | 43 Lagrange Avenue, Poughkeepsie, New York |
| Phone Number | 8454522900 |
| Fax Number | 8454524974 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154461689 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 43 Lagrange Avenue |
|---|---|
| City | Poughkeepsie |
| State | New York (NY) |
| Post Code | 12603 |
| Phone Number | 8454522900 |
| Fax Number | 8454524974 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 37383 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1017770 | NY | -- |
Post Comment/ Review Below
What is the Bruce D Marzullo's unique identification number?
The Bruce D Marzullo has been assigned the NPI (National Provider Identifier) Number 1154461689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Bruce D Marzullo?
The Bruce D Marzullo is situated at 43 Lagrange Avenue, in the city of Poughkeepsie, state of NY, with the zip code 12603.
What is the Bruce D Marzullo's area of specialization and corresponding taxonomy classification?
The Bruce D Marzullo's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
When was the Bruce D Marzullo's 1154461689 issued?
The Bruce D Marzullo's 1154461689 was issued on 2007-02-07.
As of what date was the information pertaining to Bruce D Marzullo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bruce D Marzullo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.