MEDICARE: DR. ANTHONY G BRUNOZZI 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	207Q00000X	Family Medicine Physician	OS008501L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	08012767	OTHER	PA	MEDICARE TRAVELERS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0572036000	OTHER	PA	KEYSTONE EAST
2	96500	OTHER	PA	OPERATOR'S 825 WELFARE
4	P9355940	OTHER	PA	OXFORD
5	5377164001	OTHER	PA	CIGNA INSURNACE CO.
6	729738	OTHER	PA	BLUE CROSS BLUE SHIELD
7	10923820	OTHER		CAQH NUMBER
8	118864300	OTHER	PA	U.S. DEPT. OF LABOR
9	16768	OTHER	PA	UMWA
10	167688828	OTHER	PA	TRICARE
11	2Y2473	OTHER	PA	HEALTHNET
12	5998012	OTHER	PA	G.H.I INSURANCE COMPANY
13	5027469	OTHER	PA	AETNA PPO
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457330706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY G BRUNOZZI D.O.

Provider Business Mailing Address
First Line	:	41 UNIVERSITY DR
Second Line	:	SUITE 300
City	:	NEWTOWN
State	:	PA
Zip	:	18940-1873
Country	:	US
Telephone Number	:	215-710-7037
Fax Number	:	215-710-5181

Provider Business Practice Location Address
First Line	:	1609 WOODBOURNE RD STE 101
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19057
Country	:	US
Telephone Number	:	215-945-1500
Fax Number	:	215-945-9192

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

Provider Enumeration Date	:	01/14/2006
Last Update Date	:	05/18/2021

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