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NPI Code Detail

MEDICARE: DR. BRUNO POMPEO PETRUCCELLI MD, MPH

MEDICARE:  DR. BRUNO POMPEO PETRUCCELLI  MD, MPH
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
12083P0901XPublic Health & General Preventive Medicine PhysicianMD433116PA
22083P0901XPublic Health & General Preventive Medicine PhysicianD36524MD

General Provider Information

NPI Number : 1427105451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUNO POMPEO PETRUCCELLI MD, MPH
Provider Business Mailing Address
First Line : 25 HARRINGTON WAY
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-6024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 SMITH DR STE 1
Second Line :
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-4131
Country : US
Telephone Number : 724-591-5236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 11/20/2012

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Directions to “ DR. BRUNO POMPEO PETRUCCELLI MD, MPH” Practice Location

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