Individual
ALAN D BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 CAMBRIDGE ST, INTERNAL MEDICINE, CAMBRIDGE, MA 02138-4302
(617) 661-5450
(617) 661-5226
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35858
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035858
TUFTS
MA
05
—
3192547
—
MA
01
—
B11513
BLUE CROSS
MA
01
—
PM243
HARVARD PILGRIM
MA
Enumeration date
01/30/2006
Last updated
05/25/2011
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