Man, Bruce
Man, Bruce is an individual health care provider with primary practice located at 100 Hospital Rd Suite 4, Leominster MA 01453-2253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Man, Bruce can be contacted via phone (978) 514-6300.Contact Information
Primary practice address
100 Hospital Rd Suite 4
Leominster MA 01453-2253
Phone: (978) 514-6300
Fax: (978) 514-6324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 76315 | Massachusetts |
Profile Details
| NPI number | 1922096270 |
|---|---|
| LBN Legal business name | Man, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jun 24th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922096270 | NPPES |
| Massachusetts | MEDICAID | 3071944 |
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