Doctor Name: | DR. BRUCE E RECTOR |
NPI Number: | 1346529021 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 201390 |
Business Practice Address: | 529 W 42nd St 9f New York, NY - 100366220 |
Business Phone Number: | 9177471930 |
Business Fax Number: | |
Mailing Address: | 529 W 42nd St, 9f NEW YORK |
State: | NY |
Postal Code: | 100366220 |
Phone Number: | 9177471930 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2011 |
NPI Last Update Date: | 08/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 201390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |