Individual
DR. BRUCE B BORGELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
151945
MA
2085R0203X
Therapeutic Radiology Physician
151945
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151945
TUFTS HEALTH PLAN
MA
05
—
3171329
—
MA
01
—
J18205
BCBS MA
MA
Enumeration date
02/17/2006
Last updated
08/03/2012
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