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Individual

BRUCE P ABBOTT

Active
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Individual

BRUCE P ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
42603
MA
2084N0400X
Neurology Physician
Primary
42603
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003723
NEIGHBORHOOD HEALTH
MA
05
0185183
MA
01
042603
TUFTS/SECURE HORIZON
MA
01
9467651001
CIGNA
MA
01
AA80839
HPHC
MA
01
B33632
HMO BLUE
MA
Enumeration date
05/31/2005
Last updated
04/17/2013
Update your record

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