MEDICARE: DR. LOU ANN BRUNO-MURTHA D.O.

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
1	207RI0200X	Infectious Disease Physician	70986	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	472553	OTHER	MA	US HEALTHCARE
3	728136	OTHER	MA	TUFTS

General Provider Information

NPI Number	:	1336111020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOU ANN BRUNO-MURTHA D.O.

Provider Business Mailing Address
First Line	:	230 HIGHLAND AVE
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02143-1408
Country	:	US
Telephone Number	:	617-665-1343
Fax Number	:	617-591-4360

Provider Business Practice Location Address
First Line	:	230 HIGHLAND AVE
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02143-1408
Country	:	US
Telephone Number	:	617-591-4780
Fax Number	:	617-591-4360

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	11/28/2011

Similar Medicare Providers

1760481501 — DR. MICHAEL CLARENCE PAYNE M.D., M.P.H.
Practice Location Address:

230 HIGHLAND AVE , SOMERVILLE HOSPITAL / THE CAMBRIDGE HEALTH ALLIANCE
SOMERVILLE, MA
02143-1408

Practice Phone: 617-665-1000
Practice Fax:

1659352748 — DR. LJILJANA GRKOVICH MD
Practice Location Address:

230 HIGHLAND AVE
SOMERVILLE, MA
02143-1408

Practice Phone: 617-666-4400
Practice Fax: 617-591-4460

1760430755 — DR. MICHAEL HERCULES THEODOULOU D.P.M.
Practice Location Address:

230 HIGHLAND AVE
SOMERVILLE, MA
02143-1408

Practice Phone: 617-665-1000
Practice Fax:

1164476503 — INGO H STUBBE MD
Practice Location Address:

230 HIGHLAND AVE
SOMERVILLE, MA
02143-1408

Practice Phone: 617-591-4920
Practice Fax:

1417021437 — MANISH TANDON MD
Practice Location Address:

230 HIGHLAND AVE , MEDICAL SPECIALTIES
SOMERVILLE, MA
02143-1408

Practice Phone: 617-665-1552
Practice Fax:

1154498889 — RALPH H UPCHURCH MD
Practice Location Address:

230 HIGHLAND AVE
SOMERVILLE, MA
02143-1408

Practice Phone: 617-591-4707
Practice Fax:

Directions to “ DR. LOU ANN BRUNO-MURTHA D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.