| NPI | 1730313503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BRUCATO President 203-431-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 208600000X Surgery | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-28 |