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Individual

DR. BRUCE DAVID WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 TECHNOLOGY SQ, ROOM 870, CAMBRIDGE, MA 02139-3583
(857) 268-7072
Mailing address
400 TECHNOLOGY SQ, ROOM 870, CAMBRIDGE, MA 02139-3583
(857) 268-7072

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49648
MA
207RI0200X
Infectious Disease Physician
Primary
49648
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
049648
TUFTS
MA
01
16279
PROVIDER CODE MGH
MA
01
3350987-001
CIGNA PAL
MA
01
4647796
AETNA
MA
05
6191924
MA
01
9204113
UNITED-PBO
MA
01
D82893075MGH
HPHC-PBO
MA
01
D82893MGH
HPHC-ACD
MA
01
J04403
BCBS
MA
Enumeration date
10/06/2005
Last updated
05/12/2015
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