Thayer, Bruce Alden
Thayer, Bruce Alden is an individual health care provider with primary practice located at 2000 Washington St Suite 665, Newton MA 02462-1650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thayer, Bruce Alden can be contacted via phone (617) 243-3724.Contact Information
Primary practice address
2000 Washington St Suite 665
Newton MA 02462-1650
Phone: (617) 243-3724
Fax: (617) 243-9993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 30063 | Massachusetts |
Profile Details
| NPI number | 1003815366 |
|---|---|
| LBN Legal business name | Thayer, Bruce Alden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1003815366 | NPPES |
| Massachusetts | MEDICAID | 2019159 |
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