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NPI Code Detail

MEDICARE: DR. BRUCE MICHAEL COTUGNO M.D.

MEDICARE:  DR. BRUCE MICHAEL COTUGNO  M.D.
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
12084N0400XNeurology PhysicianMD049746LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972580983
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE MICHAEL COTUGNO M.D.
Provider Business Mailing Address
First Line : 1025 JEFFERSON AVE
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-2119
Country : US
Telephone Number : 724-229-6195
Fax Number : 724-229-6199
Provider Business Practice Location Address
First Line : 1025 JEFFERSON AVE
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-2119
Country : US
Telephone Number : 724-229-6195
Fax Number : 724-229-6199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 03/16/2020

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Directions to “ DR. BRUCE MICHAEL COTUGNO M.D.” Practice Location

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