Simon, Bruce J

Simon, Bruce J is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Surgery/Trauma/Critical Care, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Simon, Bruce J can be contacted via phone (508) 856-5288.

Contact Information

Primary practice address
55 Lake Ave N Department Of Surgery/Trauma/Critical Care Worcester MA 01655-0002
Phone: (508) 856-5288
Fax: (508) 856-4224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 76579 Massachusetts

Profile Details

NPI number 1164420634
LBN Legal business name Simon, Bruce J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 9th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164420634 NPPES
Massachusetts MEDICAID 110051978A

Popular Providers