Nicholas Paul Bruno
Dermatologist Dermatopathologist
3 Wake Robin Rd Unit 5
Lincoln
, Rhode Island 02865-4208
Nicholas Paul Bruno
Dermatologist Dermatopathologist
3 Wake Robin Rd Unit 5
Lincoln
, Rhode Island 02865-4208
(401) 270-6457
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Nicholas Paul Bruno
- 741 Smith Street
- Providence, RI
- Zip : 02908-3592
- Fax : (401) 270-6457
- Phone : (401) 421-7656
Second Address
- Nicholas Paul Bruno
- 3 Wake Robin Rd Unit 5
- Lincoln, RI
- Zip : 02865-4208
- Fax : (401) 475-2808
- Phone : (401) 475-9140
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 5860 | RI |
| N | 207ND0900X | Dermatopathologist | 5860 | RI |
National Provider Identifier
| NPI | 1053413484 |
|---|---|
| Provider Name | Nicholas Paul Bruno |
| First Address | Providence, RI 02908-3592 |
| Second Address | Lincoln, RI 02865-4208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2006 |
| Last Update Date | 03/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9000499 | (05) | RI |
| C90763 | (02) |
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.