Individual
MR. BRIAN MICHAEL BACCARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST., BOSTON, MA 02114
(617) 726-2000
Mailing address
55 FRUIT ST., BOSTON, MA 02114
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4070
MA
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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