Kalow, Bruce Michael
Kalow, Bruce Michael is an individual health care provider with primary practice located at 300 Broadway , Somerville MA 02145-2935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kalow, Bruce Michael can be contacted via phone (617) 284-7000.Contact Information
Primary practice address
300 Broadway
Somerville MA 02145-2935
Phone: (617) 284-7000
Fax: (617) 284-7080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 50160 | Massachusetts |
Profile Details
| NPI number | 1578547923 |
|---|---|
| LBN Legal business name | Kalow, Bruce Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Dec 2nd, 2011 - about 14 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 | 1578547923 | NPPES |
| Massachusetts | MEDICAID | 1211978 |
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