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Individual

BRUCE R DZIURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
299 CAREW ST, SPRINGFIELD, MA 01104-2301
(413) 748-9513
(413) 748-6844
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
44997
MA
207ZP0101X
Anatomic Pathology Physician
Primary
44997
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000020248
BMC-HEALTHNET
MA
01
0024836
NEIGHBORHOOD HEALTH PLAN
MA
05
02681827
NY
01
044997
TUFTS
MA
01
11988
HEALTH NEW ENGLAND
MA
01
220031586
RAILROAD MEDICARE
MA
05
30206819
NH
01
351643
HARVARD PILGRIM
MA
01
449970
CONNECTICARE
MA
05
6182151
MA
01
98149201
NETWORK HEALTH
MA
01
J03496
BLUE CROSS OF MA
MA
Enumeration date
07/17/2006
Last updated
05/13/2008
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