Whalio Doctors

NPI 1477556652

Edwin Jay Bruno, DPM

Practitioner Podiatrist Bangor, ME

Practice location

Address
277 State St STE 1b, Bangor, ME 04401-5440
Phone
(207) 942-3988
Fax
(207) 942-3989
Mailing address
277 State St Suite 1b, Bangor, ME 04401-5439

Registered specialties (2)

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 184 (ME)
Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 2654 (NY)

Registry record

NPI
1477556652
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 May 2005
Record last updated
8 Jul 2007

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.