Provider Demographics
NPI:1821064973
Name:TOFIAS, BRUCE (MD)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:
Last Name:TOFIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:65 WALNUT ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-2118
Mailing Address - Country:US
Mailing Address - Phone:781-235-3444
Mailing Address - Fax:781-235-6888
Practice Address - Street 1:65 WALNUT ST
Practice Address - Street 2:SUITE 420
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-2118
Practice Address - Country:US
Practice Address - Phone:781-235-3444
Practice Address - Fax:781-235-6888
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA47534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0172197Medicaid
MAB33656OtherBLUE CROSS/BLUE SHEILD MA
MA047534OtherTUFTS HEALTH PLAN
MA19156OtherHARVARD PILGRIM HEALTH CA
MA19156OtherHARVARD PILGRIM HEALTH CA
MAB33656Medicare ID - Type Unspecified