Organization
ADVANCED COLON AND RECTAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY G BUTE MD (PRESIDENT PHYSICIAN)
(631) 756-2888
Entity
Organization
Contact information
Practice address
510 BROADHOLLOW ROAD, SUITE 307, MELVILLE, NY 11747-3710
(631) 756-2888
(631) 756-2880
Mailing address
510 BROADHOLLOW ROAD, SUITE 307, MELVILLE, NY 11747-3710
(631) 756-2888
(631) 756-2880
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
05/01/2008
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