Individual
BRYAR HASENJAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-6700
Mailing address
27 PINNACLE DR, EAST WALPOLE, MA 02032-1152
(508) 326-0965
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN235830
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN235830
—
MA
Enumeration date
07/31/2020
Last updated
11/27/2023
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