Bruch, Jean M.

Bruch, Jean M. is an individual health care provider with primary practice located at 243 Charles St , Boston MA 02114-3002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Bruch, Jean M. can be contacted via phone (617) 573-3793.

Contact Information

Primary practice address
243 Charles St Boston MA 02114-3002
Phone: (617) 573-3793
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 158669 Massachusetts

Profile Details

NPI number 1699766790
LBN Legal business name Bruch, Jean M.
Credentials M.D., D.M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 3rd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699766790 NPPES
Massachusetts MEDICAID 3185443

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