Individual
DR. JOHN L BRUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1493 CAMBRIDGE STREET CAHILL BUILDING, CAMBRIDGE HOSPITAL, CAMBRIDGE, MA 02139
(617) 661-1800
(617) 661-7416
Mailing address
1493 CAMBRIDGE ST, CAHILL BUILDING ROOM C220 2ND FLOOR, CAMBRIDGE, MA 02139-1047
(617) 661-1800
(617) 661-7416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32675
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
32675
MA
207RI0200X
Infectious Disease Physician
32675
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032675
TUFTS HEALTH PLAN
MA
05
—
9728589
—
MA
01
—
B02101
BLUE CROSS
MA
Enumeration date
03/21/2006
Last updated
02/02/2012
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