Weinstock, Bruce W

Weinstock, Bruce W is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Weinstock, Bruce W can be contacted via phone (617) 818-7976.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 71557 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 71557 Massachusetts

Profile Details

NPI number 1972572063
LBN Legal business name Weinstock, Bruce W
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 3rd, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972572063 NPPES
Massachusetts MEDICAID 3051196

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