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Organization
ADVANCED COLON AND RECTAL SURGERY, PC
Active
Organization
ADVANCED COLON AND RECTAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY G BUTE MD (PRESIDENT)
(631) 756-2888
Entity
Organization
Contact information
Practice address
510 BROADHOLLOW RD, SUITE 307, MELVILLE, NY 11747-3671
(631) 756-2888
(631) 756-2880
Mailing address
510 BROADHOLLOW RD, SUITE 307, MELVILLE, NY 11747-3671
(631) 756-2888
(631) 756-2880
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
2441325
NY
261QM2500X
Medical Specialty Clinic/Center
Primary
2441325
NY
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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