| Organization Name: | BRUCATO PLASTIC SURGERY CENTER LLC |
| NPI Number: | 1174708390 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY F BRUCATO (PRESIDENT) |
| Mailing Address: | 38b Grove St Ridgefield |
| State: | CT US |
| Postal Code: | 068774665 |
| Phone Number: | 2034317644 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2008 |
| NPI Last Update Date: | 02/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 033775 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |