| Doctor Name: | PETER JOSEPH BRUGER |
| NPI Number: | 1780837534 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA C |
| License Number: | C03868 |
| Business Practice Address: | 5430 Campbell Blvd Suite 106 White Marsh, MD - 211625500 |
| Business Phone Number: | 4437254930 |
| Business Fax Number: | 4437254933 |
| Mailing Address: | 5430 Campbell Blvd, Suite 106 WHITE MARSH |
| State: | MD |
| Postal Code: | 211625500 |
| Phone Number: | 4437254930 |
| Fax Number: | 4437254933 |
| NPI Enumeration Date: | 10/24/2008 |
| NPI Last Update Date: | 10/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | C03868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |