Organization
BRUDER MD HAIR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BRUDER MD (PRESIDENT)
(212) 288-2887
Entity
Organization
Contact information
Practice address
122 E 64TH ST, NEW YORK, NY 10065-7358
(212) 288-2887
(212) 308-7094
Mailing address
122 E 64TH ST, NEW YORK, NY 10065-7358
(212) 288-2887
(212) 308-7094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/02/2011
Last updated
04/04/2011
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