Individual
BRUCE A BORNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 NICHOLS RD, FITCHBURG, MA 01420-1919
(978) 343-5196
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
52961
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052961
TUFTS
MA
01
—
0712786
CIGNA
MA
05
—
110046153A
—
MA
01
—
AA12876
HARVARD PILGRIM
MA
Enumeration date
07/08/2005
Last updated
02/29/2016
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