Individual
BYRON EARLE BRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 LINCOLN AVE, HAVERHILL, MA 01830-6700
(978) 374-2000
Mailing address
1 EDWARD ST, CANTON, MA 02021-2303
(781) 828-3533
(781) 828-2471
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
81313
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3155005
—
MA
01
—
763958
TUFTS HEALTH PLANS
MA
01
—
A21464
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
06/06/2006
Last updated
07/08/2007
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