Individual
DR. BRUCE WILLARD BUNNELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE BROOKLINE PLACE, SUITE 327 CENTRE PEDIATRIC ASSOCIATES PC, BROOKLINE, MA 02445-7294
(617) 735-8585
(617) 232-0572
Mailing address
ONE BROOKLINE PLACE, SUITE 327, BROOKLINE, MA 02445-7294
(617) 735-8585
(617) 232-0572
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
72358
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072358
TUFTS
—
05
—
3083284
—
MA
01
—
J10347
BCBS
—
Enumeration date
11/02/2005
Last updated
07/08/2007
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