Bruno, Raffaele

Bruno, Raffaele is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd., Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Bruno, Raffaele can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Rd. Burlington MA 01805-0001
Phone: (781) 744-8000
Fax: (781) 744-1099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 74392 Massachusetts
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 74392 Massachusetts

Profile Details

NPI number 1215091905
LBN Legal business name Bruno, Raffaele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Nov 21st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215091905 NPPES
Massachusetts MEDICAID 3081176

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