Individual
BRUCE J. HOLSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6240
(978) 244-6684
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38384
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017349
NEIGHBORHOOD HEALTH PLAN
MA
01
—
720226
TUFTS HEALTH PLAN
MA
01
—
B11565
BLUE CROSS
MA
01
—
CA0375
MEDICARE PTAN
MA
Enumeration date
05/22/2006
Last updated
07/18/2011
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