Devon, Bruce
Devon, Bruce is an sole proprietor health care provider with primary practice located at 8 Porter St , Melrose MA 02176-2824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Devon, Bruce can be contacted via phone (617) 387-3851.Contact Information
Primary practice address
8 Porter St
Melrose MA 02176-2824
Phone: (617) 387-3851
Fax: (781) 979-0555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 42568 | Massachusetts |
Profile Details
| NPI number | 1205849155 |
|---|---|
| LBN Legal business name | Devon, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jul 9th, 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 | 1205849155 | NPPES |
| Massachusetts | MEDICAID | 2060574 |
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