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Individual

DR. BRUCE MICHAEL KALOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7000
(617) 284-7080
Mailing address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7000
(617) 284-7080

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50160
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1211978
MA
Enumeration date
11/30/2005
Last updated
12/02/2011
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