BRUCATO PLASTIC SURGERY CENTER LLC
Ambulatory Health at Grove St, Ridgefield, CT

License number
Connecticut 033775
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. GREGORY F BRUCATO MC FACS
Title: PRESIDENT
Phone: (203) 431-7644
Address
Address
38B Grove St, Ridgefield, CT 06877
National Provider ID: 1174708390
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRUCATO PLASTIC SURGERY CENTER, LLC

Ridgefield, CT

Registration:
Jul 31, 2008
Addresses:
38B Grv St, Ridgefield, CT 06877 (Physical)
10 Charter Oak Ct, Ridgefield, CT 06877 (Mailing)
State ID:
0945642
Business type:
Domestic Limited Liability Company
MEMBER:
Gregory Brucato, M.d.  Sole (MEMBER), 38B Grv St, Ridgefield, CT 06877 (Mailing)
10 Charter Oak Ct, Ridgefield, CT 06877 (Physical)
Agent:
Gregory Brucato, M.d,38B Grv St, Ridgefield, CT 06877 (Mailing)
10 Charter Oak Ct, Ridgefield, CT 06877 (Physical)

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