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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1043281942 NPPES
Massachusetts MEDICAID 3192547
Massachusetts Other PM243
Massachusetts Other 035858
Massachusetts Other B11513

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