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General NPI Number Information
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NPI Number | 1851371983
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Entity Type | Individual
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Provider Name | DONNA DIBRUNO D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 400 MEDICAL CENTER DR SUITE E
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City | SEWELL
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State | NJ
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Zip | 08080-2362
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Country | US
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Telephone | 856-582-5678
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Fax | 856-582-8868
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Provider Business Mailing Address
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Address Line | 400 MEDICAL CENTER DR SUITE E
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City | SEWELL
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State | NJ
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Zip | 08080-2362
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Country | US
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Telephone | 856-582-5678
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Fax | 856-582-8868
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25MB07368600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MB07368600
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License Number State | NJ
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