Bunnell, Bruce Willard

Bunnell, Bruce Willard is an individual health care provider with primary practice located at One Brookline Place Suite 327 Centre Pediatric Associates Pc, Brookline MA 02445-7294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bunnell, Bruce Willard can be contacted via phone (617) 735-8585.

Contact Information

Primary practice address
One Brookline Place Suite 327 Centre Pediatric Associates Pc Brookline MA 02445-7294
Phone: (617) 735-8585
Fax: (617) 232-0572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72358 Massachusetts

Profile Details

NPI number 1205827821
LBN Legal business name Bunnell, Bruce Willard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1205827821 NPPES
Massachusetts MEDICAID 3083284
Massachusetts Other 072358
Massachusetts Other J10347

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