Borgelt, Bruce B

Borgelt, Bruce B is an individual health care provider with primary practice located at 75 Francis St , Boston MA 02115-6110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Borgelt, Bruce B can be contacted via phone (617) 732-5500.

Contact Information

Primary practice address
75 Francis St Boston MA 02115-6110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 151945 Massachusetts
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X 151945 Massachusetts

Profile Details

NPI number 1770557498
LBN Legal business name Borgelt, Bruce B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Aug 3rd, 2012 - about 12 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 1770557498 NPPES
Massachusetts MEDICAID 3171329
Massachusetts Other J18205
Massachusetts Other 151945

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