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NPI Code Detail

MEDICARE: DORREEN BRUNE PA-C

MEDICARE: DORREEN BRUNE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant7352CT

General Provider Information

NPI Number : 1013781061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORREEN BRUNE PA-C
Provider Business Mailing Address
First Line : 333 CEDAR ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06510-3206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 YORK ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06510-3220
Country : US
Telephone Number : 203-688-4242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2023
Last Update Date : 12/02/2025

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Directions to “ DORREEN BRUNE PA-C” Practice Location

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