John L Brusch Md,Pc

LBN: John L Brusch Md,Pc
John L Brusch Md,Pc is an health care organization with primary practice located at 1493 Cambridge St Room 779, Cambridge MA 02139-1047. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. John L Brusch Md,Pc can be contacted via phone (617) 665-1511, or through Brusch, John L via phone (617) 665-1511.

Contact Information

Primary practice address
1493 Cambridge St Room 779 Cambridge MA 02139-1047
Phone: (617) 665-1511
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brusch, John L M.D., P.C.
Phone: (617) 665-1511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1699974808
LBN Legal business name John L Brusch Md,Pc
DBA Doing business as
Authorized official Brusch, John L M.D., P.C.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2007
Last updated Jul 17th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699974808 NPPES
Massachusetts Other M12752 BLUE SHIELD
Massachusetts MEDICAID 9728589 BLUE SHIELD

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