Jessica Rose Bruno
Vascular Surgeon
236 E Irving Park Rd
Wood Dale
, Illinois 60191-2099
Jessica Rose Bruno
Vascular Surgeon
236 E Irving Park Rd
Wood Dale
, Illinois 60191-2099
(301) 982-2001
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Jessica Rose Bruno
- 7474 Greenway Center Dr Ste 900
- Greenbelt, MD
- Zip : 20770-3504
- Fax : (301) 982-2001
- Phone : (301) 982-2000
Second Address
- Jessica Rose Bruno
- 236 E Irving Park Rd
- Wood Dale, IL
- Zip : 60191-2099
- Fax : (301) 441-8809
- Phone : (301) 486-4690
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 9110666 | FL |
National Provider Identifier
| NPI | 1083123558 |
|---|---|
| Provider Name | Jessica Rose Bruno |
| First Address | Greenbelt, MD 20770-3504 |
| Second Address | Wood Dale, IL 60191-2099 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2017 |
| Last Update Date | 09/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.