Kovalenko, Bruce

Kovalenko, Bruce is an individual health care provider with primary practice located at 267 Grant St Department Of Diagnostic Radiology, Bridgeport CT 06610-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Kovalenko, Bruce can be contacted via phone (203) 384-3170.

Contact Information

Primary practice address
267 Grant St Department Of Diagnostic Radiology Bridgeport CT 06610-2805
Phone: (203) 384-3170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 050638 Connecticut

Profile Details

NPI number 1366769499
LBN Legal business name Kovalenko, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2010
Last updated Jul 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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