Individual
BRUCE J SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF SURGERY/TRAUMA/CRITICAL CARE, WORCESTER, MA 01655-0002
(508) 856-5288
(508) 856-4224
Mailing address
10 NIBLICK RD, SHREWSBURY, MA 01545-7724
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
76579
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110051978A
—
MA
Enumeration date
07/08/2005
Last updated
11/19/2024
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