Individual
DR. RALPH A BRUTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
189 MAY ST, INNOVATIVE PHYSICIAN SERVICES LLC, WORCESTER, MA 01602-4339
(508) 791-6351
(508) 753-2087
Mailing address
3 BARKER AVE, WHITE PLAINS, NY 10601-1509
(914) 949-1199
(914) 949-1245
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
225006
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
284545
NY
Other
Enumeration date
10/10/2005
Last updated
04/27/2018
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