NPI 1649896382 · live from the CMS NPI Registry
Stephan C Bruni, Nurse Practitioner
Orthopaedic Surgery in Boston, MA. National Provider Identifier 1649896382, active.
NPI record
| NPI | 1649896382 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 125 Parker Hill Ave, Boston, MA 02120 |
| Practice phone | 617-754-5000 |
| Mailing address | 301 Washington St Apt 3, Quincy, MA 02169 |
| Enumerated | June 18, 2020 |
| Last updated | June 18, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | RN2306559 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.