Walker, Bruce David
Walker, Bruce David is an sole proprietor health care provider with primary practice located at 400 Technology Sq Room 870, Cambridge MA 02139-3583. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Walker, Bruce David can be contacted via phone (857) 268-7072.Contact Information
Primary practice address
400 Technology Sq Room 870
Cambridge MA 02139-3583
Phone: (857) 268-7072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 49648 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 49648 | Massachusetts |
Profile Details
| NPI number | 1770571572 |
|---|---|
| LBN Legal business name | Walker, Bruce David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | May 12th, 2015 - about 11 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 | 1770571572 | NPPES |
| Massachusetts | Other | 16279 | PROVIDER CODE MGH |
| Massachusetts | Other | 3350987-001 | PROVIDER CODE MGH |
| Massachusetts | Other | 049648 | PROVIDER CODE MGH |
| Massachusetts | MEDICAID | 6191924 | PROVIDER CODE MGH |
| Massachusetts | Other | 4647796 | PROVIDER CODE MGH |
| Massachusetts | Other | 9204113 | PROVIDER CODE MGH |
| Massachusetts | Other | J04403 | PROVIDER CODE MGH |
| Massachusetts | Other | D82893075MGH | PROVIDER CODE MGH |
| Massachusetts | Other | D82893MGH | PROVIDER CODE MGH |
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