Brusseau, Roland R

Brusseau, Roland R is an individual health care provider with primary practice located at Children'S Hospital Anesthesia Department 300 Longwood Avenue, Boston MA 02115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Brusseau, Roland R can be contacted via phone (617) 355-2114.

Contact Information

Primary practice address
Children'S Hospital Anesthesia Department 300 Longwood Avenue Boston MA 02115
Phone: (617) 355-2114
Fax: (617) 729-8923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 225840 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 225840 Massachusetts

Profile Details

NPI number 1063402535
LBN Legal business name Brusseau, Roland R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated May 20th, 2009 - about 16 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 1063402535 NPPES
Massachusetts Other J29254 BCBS OF MA
Massachusetts Other 478748 BCBS OF MA

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