Individual
BRUCE DOUGLAS TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
549 COLUMBIAN ST, SUITE 512, WEYMOUTH, MA 02190-1138
(781) 331-1906
Mailing address
549 COLUMBIAN ST, SUITE 512, WEYMOUTH, MA 02190-1138
(781) 331-1906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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