Individual
DR. KAREN BRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 CAPITAL BLVD, 4TH FLOOR, ROCKY HILL, CT 06067-3194
(860) 993-5126
(413) 447-8521
Mailing address
P.O. BOX 310032, NEWINGTON, CT 06131-0032
(860) 993-5126
(413) 553-6760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81289
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061408
ANTHEM
—
01
—
102380100
MEDICAID BHMH
—
01
—
200051
MEDICARE B BHMH
—
01
—
201300
MED A BHMH
—
01
—
20Z300
MEDICARE A BHMH SWING BED
—
01
—
7243065
AETNA HMO
—
01
—
AA105016
HARVARD PILGRIM
—
01
—
SX3479
MED B BHMH
—
Enumeration date
06/09/2006
Last updated
09/03/2025
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