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Individual

STEVEN R. BRUSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
190 GROTON RD, AYER, MA 01432-1124
(978) 772-4000
(978) 772-3066
Mailing address
190 GROTON RD, AYER, MA 01432-1124
(978) 772-4000
(978) 772-3066

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
210292
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0171671
MA
Enumeration date
07/25/2006
Last updated
06/09/2008
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