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Organization
LUZATO MEDICAL GROUP, P.C.
Active
Organization
LUZATO MEDICAL GROUP, P.C.
Active
Other names
Jack Bruder, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK BRUDER M.D. (PRESIDENT)
(212) 691-3066
Entity
Organization
Contact information
Practice address
36 7TH AVE, SUITE 407, NEW YORK, NY 10011-6609
(212) 691-3066
(212) 691-3126
Mailing address
36 7TH AVE, SUITE 407, NEW YORK, NY 10011-6609
(212) 691-3066
(212) 691-3126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Enumeration date
03/28/2007
Last updated
09/11/2025
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