Ralph A Brutus MD

NPI 1073501557 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1073501557
Gender Male
Enumeration Date 10/10/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
189 MAY ST
INNOVATIVE PHYSICIAN SERVICES LLC
WORCESTER MA, 01602-4339, US
Phone (508) 791-6351
Fax (508) 753-2087
Business Location
PO BOX 391
INNOVATIVE PHYSICIAN SERVICES LLC
WILBRAHAM MA, 01095-0391, US
Phone (508) 595-0531
Fax (508) 829-5367
Toxanomy
Taxonomy Code 208100000X
License State Massachusetts
License Number 225006
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According to our database, Dr. Ralph A Brutus MD NPI is 1073501557, taxonomy code is 208100000X and license number is 225006, license state is located at Massachusetts. Ralph A Brutus MD physically located at 189 May St, Worcester MA, 01602-4339. NPI Number Ralph A Brutus MD has the Individual type.

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1073501557 NPI number is provided on an as is basis without warranty of any kind. 1073501557 is maintained by the National Plan & Provider Enumeration System. The contents of Ralph A Brutus MD are for informational purposes only.