Individual
MR. ROBERT THOMAS BRUZZESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.C.S.W.
Contact information
Practice address
589 BROADWAY, APT. D, REVERE, MA 02151
(508) 330-1053
Mailing address
589 BROADWAY, APT. D, REVERE, MA 02151
(508) 330-1053
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101048
MA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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