Organization
BRUCE DEVON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE DEVON MD (PRESIDENT)
(617) 387-3851
Entity
Organization
Contact information
Practice address
8 PORTER ST, MELROSE, MA 02176-2824
(617) 387-3851
(781) 979-0555
Mailing address
8 PORTER ST, MELROSE, MA 02176-2824
(617) 387-3851
(781) 979-0555
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
42568
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060574
—
MA
Enumeration date
03/09/2007
Last updated
08/22/2020
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