Individual
BRUCE R BISTRIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DEACONESS ROAD, B I DEACONESS MED CENTER, BOSTON, MA 02215
(617) 632-8545
Mailing address
229 ARGILLA RD, IPSWICH, MA 01938-2614
(617) 632-8545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35023
MA
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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