Individual
BRUCE S SOLOMON
Active
Individual
BRUCE S SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
9400643
NC
2084N0400X
Neurology Physician
Primary
OS16308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105070700
—
FL
01
—
130009346
RAILROAD MEDICARE
NC
01
—
78450
BCBS NC
NC
05
—
8978450
—
NC
01
—
Q00643
SC MEDICAID
SC
Enumeration date
04/24/2006
Last updated
10/07/2020
Update your record
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