NPI 1164493896

Thomas E Bruderly, DO

Practitioner Otolaryngology/Facial Plastic Surgery Physician Akron, OH

Practice location

Address: 395 E Market St, Akron, OH 44304-1542
Phone: (330) 762-8959
Fax: (330) 762-1224
Mailing address: 20800 Harvard Rd 2nd Floor, Highland Hills, OH 44122-7251

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 34-00-6379 (OH)

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Registry record

NPI: 1164493896
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2006
Record last updated: 31 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.