Smoller, Bruce
Smoller, Bruce is an individual health care provider with primary practice located at 601 Elmwood Ave University Of Rochester Medical Center, Box 626, Rochester NY 14642-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Smoller, Bruce can be contacted via phone (585) 275-3184.Contact Information
Primary practice address
601 Elmwood Ave University Of Rochester Medical Center, Box 626
Rochester NY 14642-0001
Phone: (585) 275-3184
Fax: (585) 276-2047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | E-1327 | Arkansas |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 168963 | New York |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 042.0012190 | Vermont |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | E-1327 | Arkansas |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 168963-1 | New York |
Profile Details
| NPI number | 1144310632 |
|---|---|
| LBN Legal business name | Smoller, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Apr 28th, 2023 - about 2 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 | 1144310632 | NPPES |
| Arkansas | Other | 220019705 | RAILROAD MEDICARE |
| Arkansas | MEDICAID | 131598001 | RAILROAD MEDICARE |
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