Individual
DR. PHILIP BRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 E 63RD ST, 107, NEW YORK, NY 10021
(212) 980-9292
(212) 752-0674
Mailing address
1930 BROADWAY, 23F, NY, NY 10023-6945
(212) 980-9292
(212) 752-0674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
176170-1
NY
207N00000X
Dermatology Physician
Primary
176170
NY
Other
Enumeration date
02/28/2006
Last updated
10/03/2019
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