Active NPI 1447378401 Individual Practitioner Male Practitioner

Dr. John James Bruno , MD

Urology • Danbury, CT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Bruno, MD is a certified Urology practicing in Danbury, CT. With approximately 25 years of clinical experience since graduating from University Of Connecticut School Of Medicine in 2001, Dr. Bruno delivers high-quality medical care to the local community at 51-53 KENOSIA AVE.

Dr. Bruno is affiliated with Urology Associates Of Danbury, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include bcg live intravesical instillation, 1 mg, automated urinalysis test, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

51-53 Kenosia Ave

Danbury, CT 06810

Telephone 2037480330

Fax 2037313273

Associated Practice Facility / Clinic

🏢 Urology Associates Of Danbury Pc Facility NPI 1932107034

Medicare Profile & Education

Medical School

University Of Connecticut School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Danbury, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +1.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Danbury, CT (196 Statewide)

Telehealth Adoption Rate

71.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

79.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bruno (25 Years) 25 Yrs

Danbury Specialty Average (23.6 Years) 23.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	2,151	22	$5.18	$2.83
81003 Automated urinalysis test	1,085	756	$15.00	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	738	560	$300.00	$137.50
99213 Established patient office or other outpatient visit, typically 15 minutes	410	318	$250.00	$97.94
51798 Ultrasound measurement of bladder capacity after voiding	184	137	$145.00	$12.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	184	184	$350.00	$180.05
51741 Electronic assessment of bladder emptying	139	131	$400.00	$13.24
52000 Diagnostic exam of bladder and urethra using an endoscope	120	89	$750.00	$261.64
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	84	11	$986.00	$178.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$275.00	$120.63
99221 Initial hospital inpatient care per day, typically 30 minutes	67	65	$207.00	$88.18
76856 Complete ultrasound scan of pelvis	61	57	$400.00	$115.74
51702 Simple insertion of temporary bladder tube	60	36	$250.00	$67.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	39	$85.00	$60.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	36	$77.00	$52.49
51720 Instillation of anti-cancer drug into bladder	43	22	$360.00	$95.95
55899 Other procedure on male genital system	40	39	$3572.00	$309.71
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	40	40	$100.00	$17.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$300.00	$195.72
76775 Limited ultrasound scan behind abdominal cavity	26	24	$400.00	$57.81
76872 Ultrasound scan of pelvic region through rectum	23	23	$444.00	$152.57
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$453.26	$63.04
55700 Biopsy of prostate gland	23	23	$800.00	$262.56
51705 Removal of skin suture with change of bladder tube	22	11	$300.00	$107.37
52356 Crushing of stone of ureter with insertion of stent using an endoscope	21	19	$2000.00	$449.77
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	19	$1868.42	$166.99
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	14	11	$105.00	$39.03
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$3684.00	$738.48
50590 Shock wave crushing of kidney stones	11	11	$3927.27	$610.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	2,770	20	$5.18	$2.84
81003 Automated urinalysis test	877	618	$15.00	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	551	426	$283.76	$135.45
99213 Established patient office or other outpatient visit, typically 15 minutes	370	299	$229.36	$96.47
51741 Electronic assessment of bladder emptying	151	133	$400.00	$13.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$334.06	$178.24
52000 Diagnostic exam of bladder and urethra using an endoscope	124	93	$750.00	$264.17
51798 Ultrasound measurement of bladder capacity after voiding	123	102	$145.00	$11.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	114	13	$756.00	$173.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	46	$77.00	$52.46
76856 Complete ultrasound scan of pelvis	60	58	$400.00	$117.27
51720 Instillation of anti-cancer drug into bladder	57	20	$360.00	$95.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$260.40	$119.28
99221 Initial hospital inpatient care per day, typically 30 minutes	47	46	$207.00	$87.89
51702 Simple insertion of temporary bladder tube	43	28	$250.00	$67.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$85.00	$61.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	30	$300.00	$191.65
55899 Other procedure on male genital system	23	23	$3572.00	$306.58
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	19	13	$105.00	$37.32
55700 Biopsy of prostate gland	16	16	$800.00	$263.39
76775 Limited ultrasound scan behind abdominal cavity	16	14	$400.00	$55.16
76872 Ultrasound scan of pelvic region through rectum	16	16	$444.00	$151.75
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$375.00	$63.43
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	15	$2000.00	$172.17
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	15	15	$1200.00	$404.08
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$200.00	$90.65
50590 Shock wave crushing of kidney stones	12	12	$4355.00	$622.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,700	12	$5.18	$2.80
81003 Automated urinalysis test	808	590	$15.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	492	387	$200.03	$97.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	486	401	$250.01	$138.04
51798 Ultrasound measurement of bladder capacity after voiding	158	131	$145.00	$11.93
51741 Electronic assessment of bladder emptying	146	131	$400.00	$13.75
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	108	15	$756.00	$179.50
52000 Diagnostic exam of bladder and urethra using an endoscope	100	75	$717.00	$277.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$301.17	$180.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	40	$85.00	$62.00
51702 Simple insertion of temporary bladder tube	63	32	$250.00	$69.91
99221 Initial hospital inpatient care per day, typically 30 minutes	60	57	$207.48	$105.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	43	$77.00	$40.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$227.06	$121.61
76856 Complete ultrasound scan of pelvis	37	34	$400.00	$121.13
99442 Telephone medical discussion with physician, 11-20 minutes	34	34	$200.00	$97.55
51720 Instillation of anti-cancer drug into bladder	34	12	$360.00	$97.34
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	28	27	$1200.00	$421.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$300.00	$195.82
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	15	$105.00	$37.35
76872 Ultrasound scan of pelvic region through rectum	14	14	$444.00	$158.78
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$375.00	$64.38
55700 Biopsy of prostate gland	14	14	$800.00	$270.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	2,201	18	$5.18	$2.85
81003 Automated urinalysis test	703	517	$15.00	$2.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	493	400	$250.00	$140.28
99213 Established patient office or other outpatient visit, typically 15 minutes	450	360	$200.00	$98.89
51798 Ultrasound measurement of bladder capacity after voiding	155	124	$145.00	$11.72
51741 Electronic assessment of bladder emptying	130	123	$400.00	$15.27
52000 Diagnostic exam of bladder and urethra using an endoscope	125	95	$600.00	$262.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$300.64	$181.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	51	$85.00	$61.43
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	82	14	$756.00	$179.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	81	50	$77.00	$40.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$225.00	$121.50
99221 Initial hospital inpatient care per day, typically 30 minutes	70	64	$207.00	$107.47
99442 Telephone medical discussion with physician, 11-20 minutes	65	61	$200.00	$100.12
51702 Simple insertion of temporary bladder tube	65	28	$250.00	$71.78
51720 Instillation of anti-cancer drug into bladder	45	18	$360.00	$99.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$300.00	$197.33
99443 Telephone medical discussion with physician, 21-30 minutes	22	19	$250.00	$141.90
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	16	14	$105.00	$36.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,000	12	$5.18	$2.80
81003 Automated urinalysis test	574	444	$15.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	477	391	$231.24	$118.20
99213 Established patient office or other outpatient visit, typically 15 minutes	404	310	$176.24	$81.39
51798 Ultrasound measurement of bladder capacity after voiding	154	114	$145.00	$11.59
51741 Electronic assessment of bladder emptying	103	100	$367.96	$16.05
52000 Diagnostic exam of bladder and urethra using an endoscope	102	82	$600.00	$236.04
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	15	$756.00	$222.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$225.35	$117.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	59	$85.00	$50.24
99442 Telephone medical discussion with physician, 11-20 minutes	85	78	$191.76	$80.98
51702 Simple insertion of temporary bladder tube	72	36	$250.00	$68.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$300.00	$178.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	46	$77.00	$42.55
99221 Initial hospital inpatient care per day, typically 30 minutes	56	54	$207.00	$110.52
51720 Instillation of anti-cancer drug into bladder	20	12	$360.00	$93.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$300.00	$157.17
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	17	15	$105.00	$35.50
76856 Complete ultrasound scan of pelvis	16	15	$400.00	$123.14
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	14	$1821.43	$164.79
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$250.00	$119.79
76872 Ultrasound scan of pelvic region through rectum	12	12	$444.00	$161.81
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$375.00	$63.34
55700 Biopsy of prostate gland	12	12	$737.50	$278.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,041	729	$15.00	$2.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	570	476	$200.00	$117.08
99213 Established patient office or other outpatient visit, typically 15 minutes	527	405	$140.16	$80.21
51798 Ultrasound measurement of bladder capacity after voiding	252	187	$145.00	$14.40
51741 Electronic assessment of bladder emptying	162	155	$250.00	$15.82
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	156	20	$756.00	$224.96
52000 Diagnostic exam of bladder and urethra using an endoscope	119	89	$600.00	$210.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$300.77	$177.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$225.00	$117.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	79	47	$77.00	$42.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	51	$85.00	$49.25
51702 Simple insertion of temporary bladder tube	64	29	$250.00	$68.77
99221 Initial hospital inpatient care per day, typically 30 minutes	63	60	$207.00	$108.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$300.00	$157.26
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	20	$105.00	$34.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	12	$60.00	$24.98
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$375.00	$62.15
55700 Biopsy of prostate gland	20	20	$550.00	$277.03
76872 Ultrasound scan of pelvic region through rectum	20	20	$444.00	$142.08
76856 Complete ultrasound scan of pelvis	18	18	$400.00	$121.13
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	13	13	$3200.00	$152.61
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1400.00	$477.63
52317 Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm	11	11	$1863.64	$330.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,143	792	$15.00	$2.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	590	503	$200.10	$115.10
99213 Established patient office or other outpatient visit, typically 15 minutes	519	404	$140.77	$77.78
51798 Ultrasound measurement of bladder capacity after voiding	229	163	$124.21	$17.54
51741 Electronic assessment of bladder emptying	176	167	$250.00	$17.03
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	156	21	$756.00	$214.22
52000 Diagnostic exam of bladder and urethra using an endoscope	154	124	$600.00	$181.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$225.00	$115.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$300.78	$175.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	92	58	$77.00	$41.58
51702 Simple insertion of temporary bladder tube	87	31	$250.00	$70.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	52	$87.38	$46.89
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	61	24	$60.00	$23.53
99221 Initial hospital inpatient care per day, typically 30 minutes	59	57	$207.00	$107.90
J9031 Bcg (intravesical) per instillation	54	21	$259.00	$135.53
51720 Instillation of anti-cancer drug into bladder	54	21	$360.00	$92.58
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	21	$105.00	$33.73
76856 Complete ultrasound scan of pelvis	24	24	$400.00	$115.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$300.00	$150.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	18	$1750.00	$158.56
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	15	13	$1607.00	$269.34
55700 Biopsy of prostate gland	13	13	$550.00	$274.57
76872 Ultrasound scan of pelvic region through rectum	13	13	$444.00	$106.25
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$375.00	$65.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,258	848	$15.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	660	548	$200.00	$114.39
99213 Established patient office or other outpatient visit, typically 15 minutes	607	458	$140.00	$78.17
51798 Ultrasound measurement of bladder capacity after voiding	323	230	$75.00	$21.70
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	156	20	$756.00	$207.98
51741 Electronic assessment of bladder emptying	146	136	$250.00	$16.87
52000 Diagnostic exam of bladder and urethra using an endoscope	139	106	$597.12	$180.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$225.00	$115.62
51702 Simple insertion of temporary bladder tube	106	33	$181.35	$69.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$300.00	$173.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	54	$77.00	$41.53
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	92	33	$60.00	$21.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	58	$85.00	$47.15
99221 Initial hospital inpatient care per day, typically 30 minutes	63	61	$207.00	$107.69
51720 Instillation of anti-cancer drug into bladder	42	18	$360.00	$96.57
J9031 Bcg (intravesical) per instillation	42	18	$259.00	$126.35
76856 Complete ultrasound scan of pelvis	40	39	$400.00	$120.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$300.00	$154.61
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	20	$105.00	$35.77
P9612 Catheterization for collection of specimen, single patient, all places of service	24	21	$6.00	$2.94
76775 Limited ultrasound scan behind abdominal cavity	17	17	$400.00	$61.90
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$1841.54	$149.76

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CT 45080

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Urology Associates Of Danbury, Pc

51 -53 Kenosia Ave, Danbury, CT 068102304

Phone: 2037480330

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Amanda Madkour , PA

Physician Assistant

NPI 1104898436

Physician Assistant

Dr. William Hennessy , MD

Urology

NPI 1114922309

Doctor of Medicine (M.D.)

Diane St. Pierre , PA

Physician Assistant - Medical

NPI 1205860756

Physician Assistant

Dr. Edward Beck , MD

Urology

NPI 1245235449

Doctor of Medicine (M.D.)

Dr. Stanford Broder , MD

Urology

NPI 1316942519

Doctor of Medicine (M.D.)

Dr. Michael Goltzman , MD

Urology

NPI 1326570722

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 20, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 20, 2013

Registered at 51-53 KENOSIA AVE, DANBURY, CT 06810 (Tel: 2037480330)

📍

Updated Business Mailing Address December 20, 2013

Registered at 51-53 KENOSIA AVE, DANBURY, CT 06810 (Tel: 2037480330)

👤

Provider Name / Credentials Updated December 20, 2013

Recorded as JOHN BRUNO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2013

Urology (License #45080 in CT)

🟢

Initial NPI Registration & Enumeration March 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1447378401

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 27, 2007

Last Update: December 20, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

51-53 Kenosia Ave

Danbury, CT 06810

Phone: 2037480330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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