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Individual

BRIAN LEWIS HOLLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
330 BROOKLINE AVE, BIDMC: DIVISION OF UROLOGIC SURGERY, BOSTON, MA 02215-5400
(617) 667-2947
Mailing address
47 DIGHTON ST, APT # 3, BOSTON, MA 02135-3216
(781) 696-0030

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1239
MA

Other

Enumeration date
10/03/2006
Last updated
05/06/2010
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