Dziura, Bruce R
Dziura, Bruce R is an individual health care provider with primary practice located at 299 Carew St , Springfield MA 01104-2301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Dziura, Bruce R can be contacted via phone (413) 748-9513.Contact Information
Primary practice address
299 Carew St
Springfield MA 01104-2301
Phone: (413) 748-9513
Fax: (413) 748-6844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 44997 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 44997 | Massachusetts |
Profile Details
| NPI number | 1053338657 |
|---|---|
| LBN Legal business name | Dziura, Bruce R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 13th, 2008 - 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 | 1053338657 | NPPES |
| Massachusetts | Other | 000000020248 | BMC-HEALTHNET |
| Massachusetts | Other | 11988 | BMC-HEALTHNET |
| Massachusetts | Other | 449970 | BMC-HEALTHNET |
| Massachusetts | MEDICAID | 6182151 | BMC-HEALTHNET |
| Massachusetts | Other | J03496 | BMC-HEALTHNET |
| Massachusetts | Other | 351643 | BMC-HEALTHNET |
| Massachusetts | Other | 044997 | BMC-HEALTHNET |
| Massachusetts | Other | 98149201 | BMC-HEALTHNET |
| Massachusetts | MEDICAID | 02681827 | BMC-HEALTHNET |
| Massachusetts | Other | 220031586 | BMC-HEALTHNET |
| Massachusetts | Other | 0024836 | BMC-HEALTHNET |
| Massachusetts | MEDICAID | 30206819 | BMC-HEALTHNET |
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