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Individual

DR. BRUCE BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 HOPE AVE, STE G10, WALTHAM, MA 02453-2721
(781) 647-6920
(781) 891-0056
Mailing address
20 HOPE AVE, STE G10, WALTHAM, MA 02453-2721
(781) 647-6920
(781) 891-0056

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
42049
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0139068
MA
Enumeration date
11/08/2005
Last updated
01/05/2010
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