Davidson, Bruce R

Davidson, Bruce R is an individual health care provider with primary practice located at 67 Union St Metrowest Medical Center, Natick MA 01760-7700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Davidson, Bruce R can be contacted via phone (508) 650-7304.

Contact Information

Primary practice address
67 Union St Metrowest Medical Center Natick MA 01760-7700
Phone: (508) 650-7304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 37062 Massachusetts

Profile Details

NPI number 1952366411
LBN Legal business name Davidson, Bruce R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 14th, 2009 - about 15 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 1952366411 NPPES
Massachusetts MEDICAID 6179568

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