Individual
DR. MELODY ANN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 JORDAN RD, SUITE 200, TROY, NY 12180-8343
(518) 274-0476
(518) 274-0497
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
144312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040834901
UNIVERA
NY
01
—
000416033001
BLUE SHIELD
NY
01
—
0005996464
AETNA
NY
05
—
00731659
—
NY
01
—
040426006335
FIDELIS
NY
01
—
10000224
CDPHP
NY
01
—
10916
GHIHMO
NY
01
—
110916
WELLCARE
NY
01
—
160011353
RAILROAD MEDICARE
NY
01
—
16153
MVP
NY
01
—
52E351
BLUE CROSS
NY
Enumeration date
04/26/2006
Last updated
08/16/2013
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