Individual
DR. SCOTT M BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8314
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1.048403
CT
2085R0202X
Diagnostic Radiology Physician
Primary
242820
MA
2085R0204X
Vascular & Interventional Radiology Physician
1.048403
CT
2085R0204X
Vascular & Interventional Radiology Physician
242820
MA
Other
Enumeration date
09/30/2008
Last updated
07/29/2010
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