Bruce Wishnov Do Pa

NPI 1316014590 - Family Medicine - 207Q00000X

NPI Details
NPI 1316014590
Enumeration Date 11/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRUCE BRUCE
Position PRESIDENT
Phone (561) 488-4847
Fax (561) 488-4366
Practice Location
22065 STATE ROAD 7
BOCA RATON FL, 33428-4219, US
Phone (561) 488-4847
Fax (561) 488-4366
Business Location
22065 STATE ROAD 7
BOCA RATON FL, 33428-4219, US
Phone (561) 488-4847
Fax (561) 488-4366
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Bruce Wishnov Do Pa NPI is 1316014590, taxonomy code is 207Q00000X Bruce Wishnov Do Pa physically located at 22065 State Road 7, Boca Raton FL, 33428-4219. NPI Number 1033115704 has the healthcare provider type.

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1316014590 NPI number is provided on an as is basis without warranty of any kind. 1316014590 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Wishnov Do Pa are for informational purposes only.