Bundy, Albert Lee

Bundy, Albert Lee is an individual health care provider with primary practice located at 55 Pond Ave Suite 201E, Brookline MA 02445-7102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bundy, Albert Lee can be contacted via phone (617) 232-4600.

Contact Information

Primary practice address
55 Pond Ave Suite 201E Brookline MA 02445-7102
Phone: (617) 232-4600
Fax: (617) 232-4405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 52843 Massachusetts

Profile Details

NPI number 1679544167
LBN Legal business name Bundy, Albert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1679544167 NPPES
Massachusetts MEDICAID 6192386

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