Brush, Alan D
Brush, Alan D is an individual health care provider with primary practice located at 1611 Cambridge St Internal Medicine, Cambridge MA 02138-4302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brush, Alan D can be contacted via phone (617) 661-5450.Contact Information
Primary practice address
1611 Cambridge St Internal Medicine
Cambridge MA 02138-4302
Phone: (617) 661-5450
Fax: (617) 661-5226
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35858 | Massachusetts |
Profile Details
NPI number | 1043281942 |
---|---|
LBN Legal business name | Brush, Alan D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2006 |
Last updated | May 25th, 2011 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043281942 | NPPES |
Massachusetts | MEDICAID | 3192547 | |
Massachusetts | Other | PM243 | |
Massachusetts | Other | 035858 | |
Massachusetts | Other | B11513 |
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