Individual
BRETT S. NOWLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118-2999
(617) 414-5481
Mailing address
BMC PROVIDER ENROLLMENT OFFICE, 960 MASSACHUSETTS AVE., 2ND FLOOR, BOSTON, MA 02118
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8733
MA
Other
Enumeration date
09/05/2018
Last updated
04/05/2024
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