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1578550430

NPI Code Detail

MEDICARE: JULIA J BRUCE MD

MEDICARE: JULIA J BRUCE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	9077	NH
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	014091	ME
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	212696	MA
4	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	0420008160	VT
5	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	M5487	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578550430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA J BRUCE MD

Provider Business Mailing Address
First Line	:	15 WHITEHALL RD
Second Line	:
City	:	ROCHESTER
State	:	NH
Zip	:	03867-3226
Country	:	US
Telephone Number	:	603-335-8195
Fax Number	:	603-330-0098

Provider Business Practice Location Address
First Line	:	15 WHITEHALL RD
Second Line	:
City	:	ROCHESTER
State	:	NH
Zip	:	03867-3226
Country	:	US
Telephone Number	:	603-335-8195
Fax Number	:	603-330-0098

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	07/08/2007

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Directions to “ JULIA J BRUCE MD” Practice Location

Language	Start Address	Practice Location

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