Individual
DR. BRUCE H SUZUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BROOKLINE PL, SUITE 401, BROOKLINE, MA 02445-7224
(617) 735-8855
(617) 735-8864
Mailing address
1 BROOKLINE PL, SUITE 401, BROOKLINE, MA 02445-7224
(617) 735-8855
(617) 735-8864
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
46041
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110094
—
MA
01
—
040004225
RAILROAD MEDICARE
MA
01
—
046041
TUFTS
MA
01
—
19271
HARVARD PILGRIM
MA
01
—
C04864
BLUE SHIELD
MA
Enumeration date
05/25/2006
Last updated
12/05/2011
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