Becker, Bruce
Becker, Bruce is an individual health care provider with primary practice located at 20 Hope Ave Ste G10, Waltham MA 02453-2721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Becker, Bruce can be contacted via phone (781) 647-6920.Contact Information
Primary practice address
20 Hope Ave Ste G10
Waltham MA 02453-2721
Phone: (781) 647-6920
Fax: (781) 891-0056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 42049 | Massachusetts |
Profile Details
| NPI number | 1255312104 |
|---|---|
| LBN Legal business name | Becker, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jan 5th, 2010 - about 15 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 | 1255312104 | NPPES |
| Massachusetts | MEDICAID | 0139068 |
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