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General NPI Number Information
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NPI Number | 1053338657
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Entity Type | Individual
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Provider Name | BRUCE R DZIURA MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 299 CAREW ST
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City | SPRINGFIELD
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State | MA
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Zip | 01104-2301
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Country | US
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Telephone | 413-748-9513
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Fax | 413-748-6844
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Provider Business Mailing Address
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Address Line | PO BOX 789
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City | LUDLOW
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State | MA
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Zip | 01056-0789
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Country | US
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Telephone | 413-509-1000
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Fax | 413-509-1003
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 44997
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 44997
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License Number State | MA
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