Individual
BRUCE M BROWN
Active
Individual
BRUCE M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
74118
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078442
—
MA
01
—
3338
HARVARD-PILGRIM HEALTHCARE
MA
01
—
J11192
BCBS-MA
MA
Enumeration date
03/24/2006
Last updated
11/08/2024
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