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Individual

JUSTIN K. BRIONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 LAKE AVE N, DEPARTMENT OF EMERGENCY MEDICINE, WORCESTER, MA 01655-0002
(508) 421-1400
(508) 421-1490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
238280
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110083931A
MA
Enumeration date
07/03/2007
Last updated
10/26/2010
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