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Individual

JEFFREY T BRUCKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2400 S CLINTON AVE BLDG G, ROCHESTER, NY 14618-2668
(585) 341-7800
Mailing address
601 ELMWOOD AVE BOX 679-B, ROCHESTER, NY 14642-0001
(585) 275-2475

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254831
MA
207RC0000X
Cardiovascular Disease Physician
Primary
284123
NY
207RI0011X
Interventional Cardiology Physician
284123
NY

Other

Enumeration date
05/18/2010
Last updated
06/28/2023
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