Provider Demographics
NPI:1518547959
Name:COLET, BRUCE CHRISTOPHER (MD)
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:CHRISTOPHER
Last Name:COLET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 DANBURY RD STE 197
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-2523
Mailing Address - Country:US
Mailing Address - Phone:203-276-3366
Mailing Address - Fax:203-276-3367
Practice Address - Street 1:372 DANBURY RD STE 197
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-2523
Practice Address - Country:US
Practice Address - Phone:203-276-3366
Practice Address - Fax:203-276-3367
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT78933207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine