Organization
GREGORY BRUCATO, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BRUCATO MD (PRESIDENT)
(203) 431-7644
Entity
Organization
Contact information
Practice address
38B GROVE ST, RIDGEFIELD, CT 06877-4665
(203) 431-7644
(203) 431-7934
Mailing address
38B GROVE ST, RIDGEFIELD, CT 06877-4665
(203) 431-7644
(203) 431-7934
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
05/08/2009
Last updated
05/28/2009
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