Black, Bruce Charles

Black, Bruce Charles is an individual health care provider with primary practice located at 372 Washington St , Wellesley MA 02481-6202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Black, Bruce Charles can be contacted via phone (781) 239-3550.

Contact Information

Primary practice address
372 Washington St Wellesley MA 02481-6202
Phone: (781) 239-3550
Fax: (781) 239-3272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 53793 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 53793 Massachusetts

Profile Details

NPI number 1770595217
LBN Legal business name Black, Bruce Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jan 15th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770595217 NPPES
Massachusetts Other J04142 BLUE CROSS OF MA
Massachusetts Other 053793 BLUE CROSS OF MA

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