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Contact Information

RUSSELL E BRUCE, ATC, LAT
425 PIPER RD
WEST SPRINGFIELD, MA01089-1799
 Phone: 413-263-3400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for RUSSELL E BRUCE · (Male)

NPI # 1871231381
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 05/24/2022
Last updated 05/24/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 2302
  • MA Other 2302 MA BOARD OF ALLIED HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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