Edwin Jay Bruno is a Podiatrist in Bangor, Maine. Edwin Jay Bruno practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Edwin Jay Bruno is 1477556652. The last update date is 2007-07-08.
Edwin Jay Bruno's current location address is 277 State St, Bangor, Maine. You can contact this provider via phone number 2079423988 and fax number 2079423989. The mailing address for Edwin Jay Bruno is 277 State St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwin Jay Bruno |
|---|---|
| Address | 277 State St, Bangor, Maine |
| Phone Number | 2079423988 |
| Fax Number | 2079423989 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1477556652 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 277 State St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 440154390 |
| Phone Number | 2079423988 |
| Fax Number | 2079423989 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 2654 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique identifier code issued to Edwin Jay Bruno by the Centers for Medicare & Medicaid Services?
The Edwin Jay Bruno has been assigned the NPI (National Provider Identifier) 1477556652. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Edwin Jay Bruno's facilities are geographically located?
The facilities of Edwin Jay Bruno are physically situated at the following location: 277 State St, Bangor, ME, 440154390.
What is the Edwin Jay Bruno's specialty and taxonomy code?
The Edwin Jay Bruno's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did the Edwin Jay Bruno receive its 1477556652 assignment from the Centers for Medicare & Medicaid Services?
The Edwin Jay Bruno was assigned its 1477556652 by the Centers for Medicare & Medicaid Services on 2005-05-23.
When was the Edwin Jay Bruno's information last updated?
The Edwin Jay Bruno's information was last updated on 2007-07-08.