Bundy, Albert Lee
Bundy, Albert Lee is an individual health care provider with primary practice located at 55 Pond Ave Suite 201E, Brookline MA 02445-7102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bundy, Albert Lee can be contacted via phone (617) 232-4600.Contact Information
Primary practice address
55 Pond Ave Suite 201E
Brookline MA 02445-7102
Phone: (617) 232-4600
Fax: (617) 232-4405
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 52843 | Massachusetts |
Profile Details
NPI number | 1679544167 |
---|---|
LBN Legal business name | Bundy, Albert Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1679544167 | NPPES |
Massachusetts | MEDICAID | 6192386 |
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