Brutico, Carmen A

Brutico, Carmen A is an individual health care provider with primary practice located at 743 Jefferson Ave Ste 302 , Scranton PA 18510-1639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brutico, Carmen A can be contacted via phone (570) 344-9457.

Contact Information

Primary practice address
743 Jefferson Ave Ste 302 Scranton PA 18510-1639
Fax: (570) 343-3731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD025153E Pennsylvania

Profile Details

NPI number 1588632327
LBN Legal business name Brutico, Carmen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 18th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588632327 NPPES
Pennsylvania MEDICAID 000908699

Popular Providers