Hall, Bruce P
Hall, Bruce P is an individual health care provider with primary practice located at 5 Riverhurst Rd Apt. 716, Billerica MA 01821-3412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hall, Bruce P can be contacted via phone (716) 480-3624.Contact Information
Primary practice address
5 Riverhurst Rd Apt. 716
Billerica MA 01821-3412
Phone: (716) 480-3624
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 227876 | Massachusetts |
Profile Details
| NPI number | 1780646190 |
|---|---|
| LBN Legal business name | Hall, Bruce P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Aug 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780646190 | NPPES |
| New York | MEDICAID | 01805316 | |
| New York | MEDICAID | 2122553 |
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