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Individual

DR. MARIA BERSTEIN BRUCCULERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D

Contact information

Practice address
11 MAIN ST, SOUTHBOROUGH, MA 01772-1661
(508) 787-9713
Mailing address
16 DARLENE DR, SOUTHBOROUGH, MA 01772-2057
(508) 787-9713

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6504
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013120
HARVARD PILGRIM HEALTH CA
MA
01
1005820
NEIGHBORHOOD HEALTH PLAN
MA
01
455196
TUFTS HEALTH PLAN
MA
01
52402
FALLON COMMUNITY HEALTH P
MA
01
6162351
UNITED HEALTH CARE
MA
01
7428353
AETNA
MA
01
W06109
BCBS INDEMNITY
MA
Enumeration date
03/17/2007
Last updated
07/08/2007
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