Doctor Name: | DR. ALAN BRUCE MUNRO |
NPI Number: | 1083677108 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA01670700 |
Business Practice Address: | 12208 Sedgeway Ln Lovettsville, VA - 201802758 |
Business Phone Number: | 5408223813 |
Business Fax Number: | 5408223813 |
Mailing Address: | 12208 Sedgeway Ln, LOVETTSVILLE |
State: | VA |
Postal Code: | 201802758 |
Phone Number: | 5408223813 |
Fax Number: | 5408223813 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 25MA01670700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |