Bornstein, Bruce A

Bornstein, Bruce A is an individual health care provider with primary practice located at 275 Nichols Rd , Fitchburg MA 01420-1919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Bornstein, Bruce A can be contacted via phone (978) 343-5196.

Contact Information

Primary practice address
275 Nichols Rd Fitchburg MA 01420-1919
Phone: (978) 343-5196
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 52961 Massachusetts

Profile Details

NPI number 1770581308
LBN Legal business name Bornstein, Bruce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 29th, 2016 - about 8 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 1770581308 NPPES
Massachusetts Other 0712786 CIGNA
Massachusetts Other AA12876 CIGNA
Massachusetts Other 052961 CIGNA
Massachusetts MEDICAID 110046153A CIGNA

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