Provider Demographics
NPI:1144272329
Name:LEONARD A. BRUNO MD/GENE Z SALKIND MD PC
Entity type:Organization
Organization Name:LEONARD A. BRUNO MD/GENE Z SALKIND MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRUNO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-914-2320
Mailing Address - Street 1:727 WELSH RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6357
Mailing Address - Country:US
Mailing Address - Phone:215-914-2320
Mailing Address - Fax:215-914-2365
Practice Address - Street 1:727 WELSH RD
Practice Address - Street 2:SUITE 108
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6357
Practice Address - Country:US
Practice Address - Phone:215-914-2320
Practice Address - Fax:215-914-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA137058OtherHIGHMARK
PA0052227000OtherINDEPENDENCE BLUE CROSS
PA2129111OtherAETNA
PA0011610240003Medicaid
PA0011610240003Medicaid