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Individual

ADELE BRUDNICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13 LAKEVIEW RD, BROOKFIELD, CT 06804-1510
(203) 994-9099
Mailing address
13 LAKEVIEW RD, BROOKFIELD, CT 06804-1510
(239) 949-0999

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
33625
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01131800
NY
Enumeration date
06/24/2006
Last updated
01/10/2024
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