Brusch, John L
Brusch, John L is an individual health care provider with primary practice located at 1493 Cambridge Street Cahill Building Cambridge Hospital, Cambridge MA 02139. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brusch, John L can be contacted via phone (617) 661-1800.Contact Information
Primary practice address
1493 Cambridge Street Cahill Building Cambridge Hospital
Cambridge MA 02139
Phone: (617) 661-1800
Fax: (617) 661-7416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32675 | Massachusetts |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 32675 | Massachusetts |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 32675 | Massachusetts |
Profile Details
| NPI number | 1639138449 |
|---|---|
| LBN Legal business name | Brusch, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Feb 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639138449 | NPPES |
| Massachusetts | Other | B02101 | BLUE CROSS |
| Massachusetts | MEDICAID | 9728589 | BLUE CROSS |
| Massachusetts | Other | 032675 | BLUE CROSS |
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