Individual
DR. BRUCE MELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 BELMONT STREET, WORCESTER STATE HOSPITAL, WORCESTER, MA 01604
(508) 368-3780
Mailing address
305 BELMONT STREET, WORCESTER STATE HOSPITAL, WORCESTER, MA 01604
(508) 368-3780
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MA76722
MA
2084P0800X
Psychiatry Physician
MA76722
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MA76722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116671
—
MA
Enumeration date
12/22/2006
Last updated
06/18/2010
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