Individual provider · NPI-1

Bruce H. Churchill, MD

Family Medicine · Cambridge, MA

NPI number1326066150
StatusActive
Last updated in NPPESJan 14, 2015

Details

NPI
1326066150
Entity type
Individual (NPI-1)
Name
Bruce H. Churchill
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2006
Last updated
Jan 14, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine76093MAYes

Practice location

75 Mount Auburn St
Cambridge, MA 02138-4960

Phone 617-495-8414 · Fax 617-496-0560

Mailing address

75 Mount Auburn St
Cambridge, MA 02138-4960

Phone 617-495-8414 · Fax 617-496-0560

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