Thomas E Bruderly in Akron - Otolaryngology/facial Plastic Surgery
Thomas E Bruderly - NPI 1164493896
Thomas E Bruderly is a Otolaryngology/facial Plastic Surgery in Akron, Ohio. Thomas E Bruderly practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Thomas E Bruderly is 1164493896. The last update date is 2020-12-31.
Thomas E Bruderly's current location address is 395 E Market St, Akron, Ohio. You can contact this provider via phone number 3307628959 and fax number 3307621224. The mailing address for Thomas E Bruderly is 395 E Market St, Akron, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas E Bruderly |
|---|---|
| Address | 395 E Market St, Akron, Ohio |
| Phone Number | 3307628959 |
| Fax Number | 3307621224 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1164493896 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2020-12-31 |
Provider Mailing Address Detail
| Address | 395 E Market St |
|---|---|
| City | Akron |
| State | Ohio (OH) |
| Post Code | 443041542 |
| Phone Number | 3307628959 |
| Fax Number | 3307621224 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 34-00-6379 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 258500 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Thomas E Bruderly by the Centers for Medicare & Medicaid Services (CMS)?
The Thomas E Bruderly has been assigned the NPI (National Provider Identifier) 1164493896. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Thomas E Bruderly is physically located?
The Thomas E Bruderly is physically situated at the following address: 395 E Market St, Akron, OH, 443041542.
What is Thomas E Bruderly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas E Bruderly's area of specialization is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Yx0905X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164493896 to Thomas E Bruderly?
The Centers for Medicare & Medicaid Services originally issued the 1164493896 to Thomas E Bruderly on 2006-01-31.
When was the information regarding Thomas E Bruderly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Thomas E Bruderly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-12-31.
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