Individual
MARK BRANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-7400
Mailing address
24 STANDISH AVE, WHITMAN, MA 02382-1508
(609) 516-9496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
08/24/2024
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