Individual
DR. BRUCE GIROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 S. LINCOLN AVE., VETERANS ADMINISTRATION, LEBANON, PA 17042
(717) 272-6621
Mailing address
103 MITRIC LN, LANCASTER, PA 17601-7600
(717) 569-3208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA07763700
NJ
2084P0800X
Psychiatry Physician
Primary
MD418716
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01914162
—
PA
01
—
25MA07763700
NEW JERSEY LICENSE NUMBER
NJ
Enumeration date
02/20/2007
Last updated
04/11/2012
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