Bruce Alden Thayer M.D.

NPI 1003815366 - Surgery - 208600000X

NPI Details
NPI 1003815366
Gender Male
Enumeration Date 07/19/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2000 WASHINGTON ST
SUITE 665
NEWTON MA, 02462-1650, US
Phone (617) 243-3724
Fax (617) 243-9993
Business Location
2000 WASHINGTON ST
SUITE 665
NEWTON MA, 02462-1650, US
Phone (617) 243-3724
Fax (617) 243-9993
Toxanomy
Taxonomy Code 208600000X
License State Massachusetts
License Number 30063
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According to our database, Bruce Alden Thayer M.D. NPI is 1003815366, taxonomy code is 208600000X and license number is 30063, license state is located at Massachusetts. Bruce Alden Thayer M.D. physically located at 2000 Washington St, Newton MA, 02462-1650. NPI Number Bruce Alden Thayer M.D. has the Individual type.

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1003815366 NPI number is provided on an as is basis without warranty of any kind. 1003815366 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Alden Thayer M.D. are for informational purposes only.